Breezie Jamel Davidson | Topeka, KS • PECOS Search

Breezie Jamel Davidson

Community Health Worker

Other Service Providers

325 SW Frazier Ave, Topeka, KS 66606-1963

PECOS Enrollment

Based on the most recent information from CMS, provider Breezie Jamel Davidson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1184920381
Provider Type
Individual
Full Name
Davidson, Breezie Jamel
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/4/2011
Last Updated
2/4/2011

Contact Information

Practice Location

325 SW Frazier Ave, Topeka, KS 66606-1963

Unlisted Fax

Mailing Location

325 SW Frazier Ave, Topeka, KS 66606-1963

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 172V00000X Primary	Description Community Health Worker Other Service Providers	License Unlisted Issuer