Krystal Latoyia Davis
Case Manager/Care Coordinator in Albuquerque, NM. Individual provider (NPI-1).
NPI number1982178083
StatusActive
Last updated in NPPESJan 11, 2019
Details
- NPI
- 1982178083
- Entity type
- Individual (NPI-1)
- Name
- Krystal Latoyia Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2019
- Last updated
- Jan 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | NM | Yes |
Practice location
1709 Moon St NeAlbuquerque, NM 87112-3935
Phone 505-271-0329 · Fax 505-271-4957
Mailing address
1709 Moon St NeAlbuquerque, NM 87112-3935
Phone 505-271-0329 · Fax 505-271-4957
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