Individual
MRS. JANE DANIELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 198TH PL SW, BOTHELL, WA 98012-9689
(949) 887-7614
Mailing address
24510 BRAZOS STAGE, SAN ANTONIO, TX 78255-2185
(949) 887-7614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
865402
TX
363LF0000X
Family Nurse Practitioner
Primary
AP61521751
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
04/03/2024
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