Most Relevant Information
Provider Data
| NPI Number: | 1003659871 |
| Provider Name: | MADISON DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
5410 N 44TH ST
TACOMA
WA
984073715
Practice Location Phone/Fax
| Phone: | 2537599544 |
| Fax: |
Provider Mailing Location
5410 N 44TH ST
TACOMA
WA
984073715
Provider Mailing Phone/Fax
| Phone: | 2537599544 |
| Fax: |