Most Relevant Information
Provider Data
| NPI Number: | 1003593310 |
| Provider Name: | MICHELLE MARIE DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 2810530 |
Most Important Dates
| Enumeration Date: | 06/28/2023 |
| Last Updated: | 06/28/2023 |
Provider Practice Location
345 118TH AVE SE STE 210
BELLEVUE
WA
980053652
Practice Location Phone/Fax
| Phone: | 2066072551 |
| Fax: |
Provider Mailing Location
345 118TH AVE SE STE 210
BELLEVUE
WA
980053652
Provider Mailing Phone/Fax
| Phone: | 2066072551 |
| Fax: |