Carson Lee Davis
NPI #1477214229 in Gothenburg, Nebraska
Provider Information
- NPI Number
- 1477214229
- Entity Type
- Individual
- Name
- Carson Lee Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Transportation Broker
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Jan 4, 2022
Practice Location
- Address
- 1307 LAKE AVE
- City
- Gothenburg
- State
- Nebraska
- ZIP Code
- 69138-1744
- Phone
- (308) 325-5518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Transportation Broker |
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