Individual
MR. JESSE E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3512 SERENE WAY, LYNNWOOD, WA 98087-5202
(425) 931-5717
Mailing address
3512 SERENE WAY, LYNNWOOD, WA 98087-5202
(425) 931-5717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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