JACOB DAVIS

BATON ROUGE, LA
NPI1932672979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: LA  5559)
Enumeration Date2019-01-02
Last Update Date2019-01-02
Business Address
JACOB DAVIS
606 COLONIAL DR STE B
BATON ROUGE, LA 70806-6535
Phone number: 225-406-7670
Mailing Address
JACOB DAVIS
606 COLONIAL DR STE B
BATON ROUGE, LA 70806-6535
Phone number: 225-406-7670