Individual
BETTY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 VISIONARY BAY AVE, N LAS VEGAS, NV 89081-6514
(404) 538-3476
(404) 478-8035
Mailing address
3409 VISIONARY BAY AVE, N LAS VEGAS, NV 89081-6514
(404) 538-3476
(404) 478-8035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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