Individual
SHONDREIKA TENAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
316 WOOD SPGS, HAUGHTON, LA 71037-7705
(318) 730-3888
Mailing address
316 WOOD SPGS, HAUGHTON, LA 71037-7705
(318) 730-3888
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
231770
LA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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