Individual
GRACE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 2ND AVE S, FARGO, ND 58103
(710) 239-6837
Mailing address
1010 2ND AVE SOUTH, FARGO, ND 58103
(710) 239-6837
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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