Individual
JACOB DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 SPRINGHILL DR STE 490, NORTH LITTLE ROCK, AR 72117-2933
(501) 945-8838
Mailing address
3401 SPRINGHILL DR STE 490, NORTH LITTLE ROCK, AR 72117-2933
(501) 945-8838
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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