Individual
DESIREE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 N GALLOWAY AVE STE 105, MESQUITE, TX 75150-4897
(469) 743-1300
Mailing address
938 MARISA LN, DESOTO, TX 75115-3880
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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