Individual
KELLIE DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 VALLEY VIEW DR, OMAK, WA 98841
(605) 359-6741
Mailing address
34 VALLEY VIEW DR, OMAK, WA 98841
(605) 359-6741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60816720
WA
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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