Individual
DEWAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31330 HIGHWAY 22 STE 101, SPRINGFIELD, LA 70462-7427
(225) 294-7227
(225) 294-7667
Mailing address
31330 HIGHWAY 22 STE 101, SPRINGFIELD, LA 70462-7427
(225) 294-7227
(225) 294-7667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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