Individual
HEATHER DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 255-5073
Mailing address
1708 E 44TH ST, TACOMA, WA 98404-4611
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN60394877
WA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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