Individual
TAMARA ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 S KIRKWOOD RD, KIRKWOOD, MO 63122-7224
(314) 821-5300
Mailing address
1706 WASHINGTON AVE APT 817, SAINT LOUIS, MO 63103-1761
(240) 350-6342
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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