Individual
OLIVER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 REGENCY WAY, RENO, NV 89509-3423
(775) 636-7767
Mailing address
4780 ARVILLE ST, SUITE B, LAS VEGAS, NV 89103-5402
(702) 830-9740
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780936435
—
NV
Enumeration date
08/27/2015
Last updated
08/27/2015
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