Skylar Joseph Davidson
Voluntary or Charitable in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1033870142
StatusActive
Last updated in NPPESJan 2, 2022
Details
- NPI
- 1033870142
- Entity type
- Individual (NPI-1)
- Name
- Skylar Joseph Davidson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2022
- Certification date
- Jan 2, 2022
- Last updated
- Jan 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251V00000X | Voluntary or Charitable | – | – | Yes |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-7000
Mailing address
2421 Lilac Cove StLas Vegas, NV 89135-1076
Phone 702-525-1222
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