Individual
HEIDI DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
121 E VICTORY RD, APT L203, MERIDIAN, ID 83642-6633
(208) 861-3509
Mailing address
121 E VICTORY RD, APT L203, MERIDIAN, ID 83642-6633
(208) 861-3509
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
04/12/2016
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