Prisma Davalos, PA-C

Physician Assistant · Portales, NM

Primary taxonomy

363A00000X

Enumerated

2022-08-04

Practice location

Portales, NM

Last NPPES update

2024-12-31

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.