Individual
ANA-LISA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 ROCKPORT ST, MOSES LAKE, WA 98837-4032
(509) 770-0640
Mailing address
718 ROCKPORT ST, MOSES LAKE, WA 98837-4032
(509) 770-0640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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