Individual
TAMARA J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
9910 INDIAN SCHOOL RD NE STE 208, ALBUQUERQUE, NM 87112-2971
(505) 440-5937
(877) 986-9227
Mailing address
PO BOX 25642, ALBUQUERQUE, NM 87125-0642
(505) 985-1921
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1753
NM
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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