Individual
MRS. EMMA MAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7465 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-1032
(702) 658-9563
Mailing address
575 E LAKE MEAD PKWY APT 3119, HENDERSON, NV 89015-5680
(702) 629-4177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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