STACY DAVENPORT

TWIN FALLS, ID
NPI1780399394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-01-18
Last Update Date2023-01-18
Business Address
STACY DAVENPORT
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301-5853
Phone number: 208-736-5048
Mailing Address
STACY DAVENPORT
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301-5853
Phone number:
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