Shane Davis's National Provider Identifier (NPI) Details
Shane Davis, L.MHC
NPI: 1689822686
Enumeration Date: 2008-09-03
Last updated: 2024-10-17
Sole Proprietor: NO
Status: active
Postal Address: 4515 26TH ST W, BRADENTON, FL
Phone: 269-282-4298
Primary Practice Address: 4515 26TH ST W, BRADENTON, FL
Practice's phone: 269-282-4298