Individual
MRS. DAVONNA ALEXANDRIA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
9595 ANDREW AVE, ELKO NEW MARKET, MN 55020-4507
(574) 274-6274
Mailing address
9595 ANDREW AVE, ELKO NEW MARKET, MN 55020-4507
(574) 274-6274
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258684
ABOC
MN
Enumeration date
01/16/2026
Last updated
01/16/2026
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