Individual
TICAYA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
946 SCHLEY ST, MANSFIELD, LA 71052-3733
(318) 505-2587
Mailing address
946 SCHLEY ST, MANSFIELD, LA 71052-3733
(318) 505-2587
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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