Individual
MR. MICHAEL RAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
506 N 40TH AVE, SUITE 101, YAKIMA, WA 98908-4318
(509) 966-4735
(509) 966-4755
Mailing address
506 N 40TH AVE, SUITE 101, YAKIMA, WA 98908-4318
(509) 966-4735
(509) 966-4755
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 00001859
WA
Other
Enumeration date
10/29/2008
Last updated
09/24/2010
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