Provider Demographics
NPI:1295096394
Name:DAVIES, HARRY GABRIEL
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:GABRIEL
Last Name:DAVIES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13609 COLGATE WAY
Mailing Address - Street 2:APT 325
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7248
Mailing Address - Country:US
Mailing Address - Phone:202-492-4755
Mailing Address - Fax:
Practice Address - Street 1:13609 COLGATE WAY
Practice Address - Street 2:APT 325
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7248
Practice Address - Country:US
Practice Address - Phone:202-492-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide