NPI 1043997968

Shaka-Con Davis

Practitioner Prevention Professional Charlotte, NC

Practice location

Address: 1909 J N Pease Pl STE 104, Charlotte, NC 28262-4561
Phone: (980) 224-8078

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1111111111111 (NC)

Other Prevention Professional providers in North Carolina →

Registry record

NPI: 1043997968
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2023
Record last updated: 3 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.