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Individual

ALIA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1624 S I ST STE 102, TACOMA, WA 98405-5029
(253) 428-8700
Mailing address
3102 CHRISTOPHERS WATCH LN, RUSKIN, FL 33570-3051
(727) 687-8446

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA.PA.61433283
WA
363A00000X
Physician Assistant
Primary
PA61433283
WA

Other

Enumeration date
05/05/2023
Last updated
11/24/2025
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