REGINA MARIE DAVIS

LIBERTY LAKE, WA
NPI1952753717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA  60654992)
Enumeration Date2016-07-05
Last Update Date2019-03-19
Business Address
REGINA MARIE DAVIS PMHNP
23403 E MISSION AVE STE 200I
LIBERTY LAKE, WA 99019-7575
Phone number: 509-992-4224
Mailing Address
REGINA MARIE DAVIS PMHNP
PO BOX 333
LIBERTY LAKE, WA 99019-0333
Phone number: