Individual provider · Type 1 NPI
Tennille Renae Davis
Driver · North Las Vegas, NV
NPI number
1861993362
Active
Practice location
3925 N Martin L King Blvd Ste 202
North Las Vegas, NV 89032-7675
Fax (702) 909-9262
Mailing address
5244 Tamarus St Apt D
Las Vegas, NV 89119-5045
Other practice locations
- 2525 N Decatur Blvd Ste 2, Las Vegas, NV 89108-2976 · (702) 982-3636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1861993362
Tennille Renae Davis's National Provider Identifier is 1861993362, issued on Feb 21, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in North Las Vegas, NV. The record was last updated on Mar 17, 2018.