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NPI Code Detail

MEDICARE: MONIQUE L DAVIS

MEDICARE:   MONIQUE L 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1891275103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE L DAVIS
Provider Business Mailing Address
First Line : 4522 SUNNYVIEW DR APT 238
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-3146
Country : US
Telephone Number : 405-397-9971
Fax Number :
Provider Business Practice Location Address
First Line : 4522 SUNNYVIEW DR APT 238
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-3146
Country : US
Telephone Number : 405-397-9971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

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Directions to “ MONIQUE L DAVIS ” Practice Location

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