SHASTA DAVIS

MALVERN, AR
NPI1104031665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-10
Last Update Date2008-10-14
Business Address
-- SHASTA DAVIS CMP
1708 E PAGE AVE
MALVERN, AR 72104-4540
Phone number: 501-332-4437
Mailing Address
-- SHASTA DAVIS CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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