Whalio Doctors

NPI 1861993362

Tennille Renae Davis

Practitioner Driver North Las Vegas, NV

Practice location

Address
3925 N Martin L King Blvd STE 202, North Las Vegas, NV 89032-7675
Phone
(702) 909-9333
Fax
(702) 909-9262
Mailing address
5244 Tamarus St APT D, Las Vegas, NV 89119-5045

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X

Registry record

NPI
1861993362
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Feb 2018
Record last updated
17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.