Individual
CAPRICE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
105 PASEO DEL CANON W STE A, TAOS, NM 87571-6943
(575) 758-5857
(575) 758-5860
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 384-7352
(505) 274-7338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L15407
NM
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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