Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003248816 |
---|---|
Provider Name | Ms. Rhyan L Davis |
First Address | Hampton, VA 23666-1478 |
Second Address | Hampton, VA 23666-1478 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2013 |
Last Update Date | 02/08/2013 |