Individual
DAYSHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10565 191ST ST E, PUYALLUP, WA 98374-6482
(253) 691-1010
Mailing address
10565 191ST ST E, PUYALLUP, WA 98374-6482
(253) 691-1010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61451898
WA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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