Individual
M. CAMILLE DAVIDOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4048 E KROLL DR, GILBERT, AZ 85234-7516
(480) 926-6301
(480) 813-9011
Mailing address
4048 E KROLL DR, GILBERT, AZ 85234-7516
(480) 926-6301
(480) 813-9011
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN180530
AZ
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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