Most Relevant Information
Provider Data
| NPI Number: | 1003439274 |
| Provider Name: | MARISHA A DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2020 |
| Last Updated: | 05/22/2020 |
Provider Practice Location
1670 NW 58TH TER APT 1
SUNRISE
FL
333134753
Practice Location Phone/Fax
| Phone: | 9545051458 |
| Fax: |
Provider Mailing Location
1670 NW 58TH TER APT 1
SUNRISE
FL
333134753
Provider Mailing Phone/Fax
| Phone: | 9545051458 |
| Fax: |