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NPI Code Detail

MEDICARE: SONYA WARREN DAVIS

MEDICARE: SONYA WARREN DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistR02102MD

General Provider Information

NPI Number : 1134647712
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONYA WARREN DAVIS
Provider Business Mailing Address
First Line : 2015 MARTINS GRANT CT
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-1932
Country : US
Telephone Number : 410-721-6353
Fax Number :
Provider Business Practice Location Address
First Line : 2015 MARTINS GRANT CT
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-1932
Country : US
Telephone Number : 410-721-6353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 07/21/2022

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Directions to “ SONYA WARREN DAVIS ” Practice Location

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