Individual
KURVIS ANTIONE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
367 CARROLLTON AVE, SHREVEPORT, LA 71105-3205
(318) 573-0604
Mailing address
367 CARROLLTON AVE, SHREVEPORT, LA 71105-3205
(318) 573-0604
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08517
LA
Other
Enumeration date
09/15/2015
Last updated
12/30/2016
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