Individual
DENISE N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1601 WILLIAM WAY STE A, MOUNT VERNON, WA 98273-2500
(360) 424-8115
(360) 428-0104
Mailing address
1601 WILLIAM WAY STE A, MOUNT VERNON, WA 98273-2500
(360) 424-8115
(360) 428-0104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016641
WA
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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