Individual
LLISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-7000
Mailing address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-7000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60131089
WA
Other
Enumeration date
12/23/2015
Last updated
11/20/2025
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