Individual
LAJUANA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 DALE DR, ARLINGTON, TX 76010-4614
(817) 609-0961
Mailing address
1614 DALE DR, ARLINGTON, TX 76010-4614
(817) 609-0961
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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