Individual
DR. KRISTA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, FAAO
Contact information
Practice address
4455 HIGHWAY 169 N, FOUR SEASONS EYECARE, PLYMOUTH, MN 55442-2897
(763) 559-7358
Mailing address
4455 HIGHWAY 169 N, FOUR SEASONS EYECARE, PLYMOUTH, MN 55442-2897
(763) 559-7358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001376
VA
152W00000X
Optometrist
Primary
2577
MN
Other
Enumeration date
12/01/2006
Last updated
11/22/2011
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