Individual
DENISE COLETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 SAINT BERNARD AVE, NEW ORLEANS, LA 70119-1613
(504) 943-1857
Mailing address
9 HONEYSUCKLE LN, NEW ORLEANS, LA 70128-1147
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376805440
—
LA
Enumeration date
04/11/2019
Last updated
04/11/2019
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