Individual
DIERA C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
3821 W COLLEGE LN, HOBBS, NM 88242-9126
(575) 392-2231
Mailing address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
(575) 397-4659
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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