Individual
KRISTINA MICHELE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
107 WILLIAMS RD, PAVILLION, WY 82523-9608
(970) 274-3848
Mailing address
107 WILLIAMS RD, PAVILLION, WY 82523-9608
(970) 274-3848
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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