Individual
ANGELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6307 TIMBERMAN PL, SHREVEPORT, LA 71119-7230
(318) 507-9242
Mailing address
6307 TIMBERMAN PL, SHREVEPORT, LA 71119-7230
(318) 507-9242
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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