Individual
SHALANA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201-3438
(501) 500-2266
Mailing address
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201-3438
(501) 500-2266
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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