Individual
DR. DANDRA JONIQUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 OAK BND, BRANDON, MS 39047-7292
(504) 430-3243
Mailing address
404 OAK BND, BRANDON, MS 39047-7292
(504) 430-3243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21828
MS
Other
Enumeration date
10/11/2007
Last updated
05/24/2012
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