Individual
MARIAH K DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1150 AWAIKI PL, WAIPAHU, HI 96797-3260
(808) 778-8062
Mailing address
94-1150 AWAIKI PL, WAIPAHU, HI 96797-3260
(808) 778-8062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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