Individual
LISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 2ND STREET PINEHILL, SPRINGHILL, LA 71075-4405
(318) 578-0654
Mailing address
203 2ND STREET PINEHILL, SPRINGHILL, LA 71075-4405
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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