Individual
MRS. CANDACE LACHER DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8748 QUARTERS LAKE RD, BATON ROUGE, LA 70809-2198
(225) 928-8686
Mailing address
3350 VAN BUREN ST, BAKER, LA 70714-3455
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LA4793
LA
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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