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NPI Code Detail

MEDICARE: DANIELLE DAVIS-BLAIR

MEDICARE: DANIELLE DAVIS-BLAIR
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1447188107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE DAVIS-BLAIR
Provider Business Mailing Address
First Line : 1951 STELLA LAKE ST STE 36
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2144
Country : US
Telephone Number : 702-888-1415
Fax Number : 702-648-8966
Provider Business Practice Location Address
First Line : 1951 STELLA LAKE ST STE 36
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2144
Country : US
Telephone Number : 702-888-1415
Fax Number : 702-648-8966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ DANIELLE DAVIS-BLAIR ” Practice Location

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