Individual
CAITLIN M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 W BUCKSKIN RD, POCATELLO, ID 83201-9150
(208) 339-8308
Mailing address
8401 W BUCKSKIN RD, POCATELLO, ID 83201-9150
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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