Search › Wisconsin › 405300000X
Marisha Davis
NPI 1902562101 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5007 W Fairy Chasm Ct
Brown Deer, WI 53223 - Phone
- (414) 595-0890
Registry record
- Primary taxonomy
- 405300000X
405300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin