Individual
TAMARA DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6628 COLLEGE PARK, CLARKSTON, MI 48346-1065
(248) 563-6323
Mailing address
6628 COLLEGE PARK, CLARKSTON, MI 48346-1065
(248) 563-6323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704248191
MI
Other
Enumeration date
12/22/2008
Last updated
07/05/2012
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