| NPI | 1326453689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A DAVIS Owner 225-347-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07837) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |