Individual
LARRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1318 HWY 171, STONEWALL, LA 71078
(318) 906-5054
(318) 906-5057
Mailing address
1318 HWY 171, STONEWALL, LA 71078
(318) 906-5054
(318) 906-5057
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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