Organization
MARCIA L DAVIS, PA
Active
Other names
Twelve Stones
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA L DAVIS MA (OWNER)
(407) 353-3218
Entity
Organization
Contact information
Practice address
51 GRAHAM AVE, OVIEDO, FL 32765-9617
(407) 353-3218
Mailing address
51 GRAHAM AVE, OVIEDO, FL 32765-9617
(407) 353-3218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6337
FL
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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