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Individual

AMAYA MONEA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4824 MCKNIGHT RD, TEXARKANA, TX 75503-0935
(903) 793-6135
(903) 793-0053
Mailing address
4824 MCKNIGHT RD, TEXARKANA, TX 75503-0935
(903) 793-6135
(903) 793-0053

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42495
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42495
PTA
TX
Enumeration date
11/09/2022
Last updated
11/09/2022
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