Individual
PATRICIA DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1866 S FAIRWAY DR, POCATELLO, ID 83201-2330
(208) 241-0272
Mailing address
1866 S FAIRWAY DR, POCATELLO, ID 83201-2330
(208) 241-0272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73624
ID
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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