Provider Demographics
NPI:1275302408
Name:DAVIS, RAMONA DEVAHSHEY
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:DEVAHSHEY
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 462601
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80046-2601
Mailing Address - Country:US
Mailing Address - Phone:303-993-8725
Mailing Address - Fax:
Practice Address - Street 1:14099 E EXPOSITION AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2522
Practice Address - Country:US
Practice Address - Phone:303-993-8725
Practice Address - Fax:303-993-8746
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224900000X
CO224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter