Individual
MS. DAYSHIA MONAYE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 ANGELINA LN, GARYVILLE, LA 70051-3602
(504) 616-1783
Mailing address
134 ANGELINA LN, GARYVILLE, LA 70051-3602
(504) 616-1783
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
12/01/2018
Last updated
05/30/2024
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