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Organization

MAPLE VALLEY MOVEMENT NEUROLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LELIA DAVIS DO (PHYSICIAN/OWNER)
(425) 200-4546
Entity
Organization

Contact information

Practice address
22620 SE 216TH PL STE E, MAPLE VALLEY, WA 98038-6346
(425) 200-4546
(425) 523-9167
Mailing address
22620 SE 216TH PL STE D, MAPLE VALLEY, WA 98038-6346
(425) 200-4546
(425) 523-9167

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
08/16/2022
Last updated
03/17/2023
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