Individual
JEFF DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 W K ST, SHELTON, WA 98584-2944
(360) 426-1696
Mailing address
110 W K STREET, SHELTON, WA 98584
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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