Individual
REGINA ERWIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5224 N AFTON PKWY, BATON ROUGE, LA 70806-3530
(225) 216-6631
Mailing address
5224 N AFTON PKWY, BATON ROUGE, LA 70806-3530
(225) 216-6631
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
881315
LA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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