Individual
DR. MANDA RAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1211 NORTH 41ST STREET, SEATTLE, WA 98103-8009
(206) 547-1991
(206) 547-0149
Mailing address
1211 N 41ST STREET, SEATTLE, WA 98103-8009
(206) 547-1991
(206) 547-0149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001959
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42296
LABOR AND INDUSTRIES
WA
Enumeration date
02/05/2007
Last updated
07/08/2007
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