Bodie Lee Davis

NPI #1811601081 in Payette, Idaho

Provider Information

NPI Number: 1811601081
Entity Type: Individual
Name: Bodie Lee Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jan 11, 2023
Last Updated: Jan 11, 2023

Practice Location

Address: 250 S MAIN ST
City: Payette
State: Idaho
ZIP Code: 83661-2853
Phone: (208) 405-0020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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