CLARISSA YUVONNE DAVIDSON

FORT WORTH, TX
NPI1043047921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2024-09-16
Last Update Date2024-09-16
Business Address
CLARISSA YUVONNE DAVIDSON
5705 DIAZ AVE
FORT WORTH, TX 76107-5801
Phone number: 318-624-6614
Mailing Address
CLARISSA YUVONNE DAVIDSON
9979 HIGHWAY 79
HAYNESVILLE, LA 71038-4913
Phone number: 318-624-6614
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