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Individual

TANYA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4440
Mailing address
217 WOODLAND PKWY UNIT 123, SAN MARCOS, CA 92069-7011
(858) 405-7236

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95091320
CA

Other

Enumeration date
09/18/2017
Last updated
09/18/2017
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