Individual
DAVONTA RUFFINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(318) 779-1158
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(318) 779-1158
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/26/2019
Last updated
12/30/2022
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