Individual
SHONQUANISIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 CLAY ST, SHREVEPORT, LA 71101-2348
(678) 698-7485
Mailing address
1807 CLAY ST, SHREVEPORT, LA 71101-2348
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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