Individual
KWINICA ANTONETTE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6120 LAND O TREES ST, SHREVEPORT, LA 71119-7404
(318) 560-1702
Mailing address
6120 LAND O TREES ST, SHREVEPORT, LA 71119-7404
(318) 560-1702
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
202890
LA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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