Marisha S Davis

NPI #1902562101 in Brown Deer, Wisconsin

Provider Information

NPI Number: 1902562101
Entity Type: Individual
Name: Marisha S Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prevention Professional
Enumeration Date: Nov 11, 2021
Last Updated: Nov 11, 2021

Practice Location

Address: 5007 W FAIRY CHASM CT
City: Brown Deer
State: Wisconsin
ZIP Code: 53223-1406
Phone: (414) 595-0890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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