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Tina Davis

NPI 1568190767 · on the registry since 2022

Practice

Address
15359 Cocodrie Ave
Baton Rouge, LA 70817
Phone
(318) 243-7404

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana