Mariza Davis
Specialist/Technologist, Other, Art, Medical in Fair Oaks, CA. Individual provider (NPI-1).
NPI number1104789130
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1104789130
- Entity type
- Individual (NPI-1)
- Name
- Mariza Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2025
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZA2600X | Specialist/Technologist, Other, Art, Medical | – | – | Yes |
Practice location
7634 Woodglen DrFair Oaks, CA 95628-5756
Phone 916-818-1725
Mailing address
2630 Sierra Meadows DrRocklin, CA 95677-2105
Phone 916-818-1725
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