Individual
MS. J. SUSANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
62 N. STAPLEY DRIVE, MESA, AZ 85203
(480) 650-4459
Mailing address
62 N. STAPLEY DRIVE, MESA, AZ 85203
(480) 650-4459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4556
AZ
111NN1001X
Nutrition Chiropractor
4556
AZ
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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