Individual
DAVIANA DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 ASBURY DR, SUITE A, MANDEVILLE, LA 70471
(985) 674-5155
(985) 674-5156
Mailing address
802 ASBURY DR, SUITE A, MANDEVILLE, LA 70471
(985) 674-5155
(985) 674-5156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
15405
LA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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