Individual
LAPORSHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 IRBY DR APT 1602, CONWAY, AR 72034-7678
(870) 250-0474
Mailing address
3430 IRBY DR APT 1602, CONWAY, AR 72034-7678
(870) 250-0474
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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