SearchMinnesota101YA0400X

Angelina Davis

NPI 1700743978 · on the registry since 2026 · sole proprietor

Practice

Address
799 Holley Ave
Saint Paul Park, MN 55071
Phone
(612) 503-2814

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota