SHAVON DAVIS

GARY, IN
NPI1992479042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209023174)
Enumeration Date2021-08-03
Last Update Date2023-12-28
Business Address
SHAVON DAVIS NP
1619 W 5TH AVE
GARY, IN 46404-1506
Phone number: 219-886-4788
Mailing Address
SHAVON DAVIS NP
1619 W 5TH AVE
GARY, IN 46404-1506
Phone number: 773-968-9327
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