NPI 1457009144

Rolandra Davis

Practitioner Driver Marrero, LA

Practice location

Address: 536 Jung Blvd, Marrero, LA 70072-1012
Phone: (504) 816-0292

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 006627995 (LA)

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Registry record

NPI: 1457009144
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2022
Record last updated: 12 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.