SHELLEY LEILANI DAVIS

IDAHO FALLS, ID
NPI1235568742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  TLP-014)
Enumeration Date2013-11-05
Last Update Date2013-11-05
Business Address
-- SHELLEY LEILANI DAVIS P.A.-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
Mailing Address
-- SHELLEY LEILANI DAVIS P.A.-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
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