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Individual
MRS. ALISA DAVIS
Active
Individual
MRS. ALISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
R114508
MD
163WC1400X
College Health Registered Nurse
R114508
MD
163WC1500X
Community Health Registered Nurse
Primary
R114508
MD
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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