Individual
PAUL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
(206) 223-8581
Mailing address
10058 STONE AVE N, SEATTLE, WA 98133-9418
(206) 999-8062
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00033682
WA
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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