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Individual

TRACY DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
493493 HIGHWAY 95 RD, NAPLES, ID 83847-4913
(208) 255-6804
Mailing address
493493 HIGHWAY 95 RD, NAPLES, ID 83847-4913
(208) 255-6804

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
372600000X
Adult Companion
Primary

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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