Individual
MARCELLA J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17032 W SURPRISE FARMS LOOP S, SURPRISE, AZ 85388-1581
(623) 523-8640
Mailing address
17311 W IVY LN, SURPRISE, AZ 85388-1208
(623) 256-6647
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP048622
AZ
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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