Richard Isaac Davidson, LPN
NPI #1124536305 in Des Moines, Washington
Provider Information
- NPI Number
- 1124536305
- Entity Type
- Individual
- Name
- Richard Isaac Davidson, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 22, 2018
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 22447 24TH AVE S
- City
- Des Moines
- State
- Washington
- ZIP Code
- 98198-7103
- Phone
- (206) 631-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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