Individual
DEELLEN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 VALLEYVIEW RD APT 137, CANYON, TX 79015-3270
(254) 488-0641
Mailing address
47 VALLEYVIEW RD APT 137, CANYON, TX 79015-3270
(254) 488-0641
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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