Individual
MS. THERESA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12310 E MIRABEAU PKWY STE 500, SPOKANE VALLEY, WA 99216-2259
(509) 473-4900
(509) 473-4950
Mailing address
12310 E MIRABEAU PKWY STE 500, SPOKANE VALLEY, WA 99216-2259
(509) 473-4900
(509) 473-4950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000029223
WA
164W00000X
Licensed Practical Nurse
LP00029223
WA
164X00000X
Licensed Vocational Nurse
LP00029223
WA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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