Individual
MR. DEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3226 8TH ST APT J, LEWISTON, ID 83501-4836
(208) 305-1964
Mailing address
3226 8TH ST APT J, LEWISTON, ID 83501-4836
(208) 305-1964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
06357783
ID
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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