Individual
MIKAILA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1681 N DAWN DR, FAYETTEVILLE, AR 72703-6096
(805) 748-4282
Mailing address
1681 N DAWN DR, FAYETTEVILLE, AR 72703-6096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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