Individual
MARC DAVIS PAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
MN
311500000X
Alzheimer Center (Dementia Center)
—
MN
314000000X
Skilled Nursing Facility
—
MN
376K00000X
Nurse's Aide
Primary
10832685
MN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
Update your record
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