Individual
JENNA ELIZABETH DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
293 AVONDALE LN, BOSSIER CITY, LA 71112-4266
(210) 837-0240
Mailing address
293 AVONDALE LN, BOSSIER CITY, LA 71112-4266
(210) 837-0240
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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