Individual
MRS. JUDI CAROL DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDM, CPM
Contact information
Practice address
2650 BROADVIEW AVE, WASILLA, AK 99654-8302
(907) 373-3420
(907) 376-7847
Mailing address
2650 BROADVIEW AVE, WASILLA, AK 99654-8302
(907) 373-3420
(907) 376-7847
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
AA10
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA10
STATE LICENSE NUMBER
AK
05
—
NM0010
—
AK
Enumeration date
04/10/2007
Last updated
07/08/2007
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