Individual
JEFFERY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4120 MERIDIAN ST STE 280, BELLINGHAM, WA 98226-6472
(564) 888-0684
Mailing address
4120 MERIDIAN ST STE 280, BELLINGHAM, WA 98226-6472
(801) 836-6889
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1518641463
WA
Other
Enumeration date
06/12/2023
Last updated
10/04/2023
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