Larissa Davis

NPI 1760874705 - Counselor - 101Y00000X

NPI Details
NPI 1760874705
Gender Female
Enumeration Date 02/27/2015
Last Updated 02/27/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE CO, 80033-6715, US
Phone (303) 425-0300
Fax (303) 432-5071
Business Location
4851 INDEPENDENCE ST
SUITE 200
WHEAT RIDGE CO, 80033-6715, US
Phone (303) 425-0300
Fax (303) 432-5071
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Larissa Davis NPI is 1760874705, taxonomy code is 101Y00000X Larissa Davis physically located at 4851 Independence St, Wheat Ridge CO, 80033-6715. NPI Number Larissa Davis has the Individual type.

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1760874705 NPI number is provided on an as is basis without warranty of any kind. 1760874705 is maintained by the National Plan & Provider Enumeration System. The contents of Larissa Davis are for informational purposes only.