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Contact Information

JAQUANDA C DAVIS, ATC
600 PLAZA COURT
SUITE C
EAST STROUDSBURG, PA18301
 Phone: 570-421-7020
 Fax: 570-421-7091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JAQUANDA C DAVIS · (Female)

NPI Number 1932449402
Status Active
Credentials ATC
Entity Individual
Enumeration date 02/21/2013
Last updated 11/14/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RT005472
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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