Individual
MARCI J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E HOFFER ST, KOKOMO, IN 46902-2247
(765) 457-1553
Mailing address
405 E HOFFER ST, KOKOMO, IN 46902-2247
(765) 457-1553
(765) 457-1553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23001002A
IN
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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