Individual
MRS. DESIREE MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3061 US HWY 281 APT 824, DUNSEITH, ND 58329
(701) 244-5044
Mailing address
PO BOX 1313, DUNSEITH, ND 58329-1313
(701) 871-7020
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L12489
ND
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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