Individual
CHARLES S. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 KIETZKE LN BLDG D, RENO, NV 89502-5033
(775) 688-1612
Mailing address
4600 KIETZKE LN BLDG D, RENO, NV 89502-5033
(775) 221-6766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
09/14/2023
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