Sophoan Davis
NPI #1003647942 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1003647942
- Entity Type
- Individual
- Name
- Sophoan Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 12, 2024
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 8615 BOUVARDIA AVE NW
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87120-4271
- Phone
- (757) 641-9637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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