NPI 1043840515

Felton Dwight Davis

Practitioner Driver Las Vegas, NV

Practice location

Address: 8865 Knickknack CT, Las Vegas, NV 89149-0452
Phone: (702) 510-2117

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 2102450998 (NV)

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Registry record

NPI: 1043840515
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2020
Record last updated: 23 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.