Most Relevant Information
Provider Data
| NPI Number: | 1003672577 |
| Provider Name: | TAMARA DAWN DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/22/2024 |
| Last Updated: | 02/22/2024 |
Provider Practice Location
111 NORTH ST
RAPID CITY
SD
577011163
Practice Location Phone/Fax
| Phone: | 6053910792 |
| Fax: |
Provider Mailing Location
111 NORTH ST
RAPID CITY
SD
577011163
Provider Mailing Phone/Fax
| Phone: | 6053910792 |
| Fax: |