Individual
PATTI ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 1ST AVE, FAIRBANKS, AK 99701-4803
(907) 452-6434
(907) 451-6598
Mailing address
122 1ST AVE, FAIRBANKS, AK 99701-4803
(907) 452-6434
(907) 451-6598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251C00000X
CARE COORDINATOR
AK
05
—
251C00000X
—
AK
Enumeration date
01/22/2010
Last updated
01/22/2010
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