Individual
GEORGIANNA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 BIA ROAD 11, BELCOURT, ND 58316-3832
(701) 278-5813
Mailing address
PO BOX 1944, BELCOURT, ND 58316-1944
(701) 278-5813
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
ND
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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