Individual
ALYSHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
445 WYOMING AVE, KINGSTON, PA 18704-3601
(570) 718-0520
(570) 718-0522
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056623
PA
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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