Individual
DAVICA JILES EAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 BRICKSOME AVE STE A, BATON ROUGE, LA 70816-2776
(225) 756-4494
(225) 756-4495
Mailing address
PO BOX 77053, BATON ROUGE, LA 70879-7053
(225) 756-4494
(225) 756-4495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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