Individual
DAPHNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E SNOWBIRD LANE, WASILLA, AK 99654
(907) 715-4523
Mailing address
100 E SNOWBIRD LANE, WASILLA, AK 99654
(907) 715-4523
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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