Individual
MARA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 OLD BAINBRIDGE RD APT A, TALLAHASSEE, FL 32303-3560
(850) 692-4717
Mailing address
2511 OLD BAINBRIDGE RD APT A, TALLAHASSEE, FL 32303-3560
(850) 692-4717
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
131091637718091
FL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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