Individual
MS. SELENA ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPOA
Contact information
Practice address
OFF HWY 191 HOSPITAL DRIVE, CHINLE, AZ 86503
(928) 674-7030
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7030
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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