Individual
MR. JOSEPH DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17451 OMEGA CT, BAKER, LA 70714-1534
(225) 266-1037
Mailing address
17451 OMEGA CT, BAKER, LA 70714-1534
(225) 266-1037
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23691221
—
LA
Enumeration date
04/08/2021
Last updated
04/08/2021
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