Maple Valley Movement Neurology, Pllc
NPI #1265150379 in Maple Valley, Washington
Provider Information
- NPI Number
- 1265150379
- Entity Type
- Organization
- Organization Name
- Maple Valley Movement Neurology, Pllc
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Aug 16, 2022
- Last Updated
- Mar 17, 2023
Practice Location
- Address
- 22620 SE 216TH PL STE E
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-6346
- Phone
- (425) 200-4546
Authorized Official
- Name
- DR. JENNIFER LELIA DAVIS, DO
- Title
- PHYSICIAN/OWNER
- Phone
- (425) 200-4546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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