Individual
MICAH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 MAE ANNE AVE APT 1625, RENO, NV 89523-7137
(775) 379-0983
Mailing address
3258 BUNKER HILL LN, SPARKS, NV 89431-1150
(775) 360-6294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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