Individual
VICTORIA ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 ADMINISTRATION AVENUE, FARGO, ND 58105
(701) 231-8624
Mailing address
PO BOX 143, SABIN, MN 56580-0143
(701) 893-8301
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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