Individual provider · Type 1 NPI

Centa Tenelle Davis

Student in an Organized Health Care Education/Training Program · Parker, AZ

NPI number 1447540489 Active

Practice location

12033 Agency Rd
Parker, AZ 85344-7718

Call (928) 669-3130 Map

Fax (928) 669-3131

Mailing address

410 N Sola Ave
Blythe, CA 92225-1831

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447540489

Centa Tenelle Davis's National Provider Identifier is 1447540489, issued on Apr 11, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Parker, AZ. The record was last updated on Apr 11, 2011.