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NPI Code Detail

MEDICARE: QUINETTA CHANTEL DAVIS RN

MEDICARE:   QUINETTA CHANTEL DAVIS  RN
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
1163WH0200XHome HealthRN.420911OH

General Provider Information

NPI Number : 1891272860
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINETTA CHANTEL DAVIS RN
Provider Business Mailing Address
First Line : 3221 PAYDAY LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-7426
Country : US
Telephone Number : 614-290-3521
Fax Number :
Provider Business Practice Location Address
First Line : 3221 PAYDAY LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-7426
Country : US
Telephone Number : 614-290-3521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2018
Last Update Date : 07/23/2018

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