Individual
SHONDA MONIQUE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6803 BAYOU SARA WAY, SAINT FRANCISVILLE, LA 70775-6684
(225) 603-1408
Mailing address
523 CHESTERFIELD DR, BATON ROUGE, LA 70815-7207
(225) 603-1408
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
08/08/2024
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