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NPI Profile for DIANE DAVIS in LAS VEGAS, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Dance Therapist |
225600000X |
| NPI # | 1285372565 |
|
| Status | Active | |
| Credentials | MA, CPC-I, R-DMT | |
| Entity | Individual | |
| Enumeration date | 05/25/2022 | |
| Last updated | 01/27/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIANE DAVIS
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DIANE DAVIS, MA, CPC-I, R-DMT