Individual
YASMEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GEORGE DEMENT BLVD, BOSSIER CITY, LA 71111-5880
(318) 747-3162
Mailing address
2600 CELEBRATION CV APT 903, SHREVEPORT, LA 71105-6224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21693
LA
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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