Individual
IMANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N 1-10 SERVICE ROAD, METAIRIE, LA 70006
(877) 418-2978
Mailing address
3740 INWOOD AVE, NEW ORLEANS, LA 70131-8452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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