Shane R. Davis
Counselor in Pullman, WA(View on Map)
Full Name
Shane Randal Davis
NPI Number
1013478759
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/26/2019
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
340 NE MAPLE ST
340 NE MAPLE ST
City
Pullman
Pullman
State
WA
WA
Postal Code
99163-4120
99163-4120
Country
US
US
Telephone Number
(509) 334-1133
(509) 334-1133
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/24/2022