Individual
TRICIA NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6602 74TH ST NE, MARYSVILLE, WA 98270
(360) 658-5218
(360) 658-5549
Mailing address
6602 74TH ST NE, MARYSVILLE, WA 98270
(360) 658-5218
(360) 658-5549
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00066498
WA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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