Individual
MRS. JILL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11279 W GRIER RD, MARANA, AZ 85653-9609
(520) 682-4782
(520) 682-4818
Mailing address
PO BOX 1187, CORTARO, AZ 85652-1187
(520) 616-7406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP4958
AZ
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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