Individual
MR. HORACE DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A., LMT
Contact information
Practice address
433 METAIRIE RD, SUITE 106, METAIRIE, LA 70005-4333
(504) 835-7554
Mailing address
2100 PASADENA AVE, APT.304, METAIRIE, LA 70001-1459
(504) 813-0434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7579
LA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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