Individual
EVA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
805 164TH ST SE STE 102, MILL CREEK, WA 98012-6316
(425) 948-7856
Mailing address
805 164TH ST SE STE 102, MILL CREEK, WA 98012-6316
(425) 948-7856
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
00021886
WA
225700000X
Massage Therapist
Primary
MA00021886
WA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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