NPI 1568803450

Jenna Elizabeth Davila, IDMT

Practitioner Independent Duty Medical Technicians Bossier City, LA

Practice location

Address: 293 Avondale Ln, Bossier City, LA 71112-4266
Phone: (210) 837-0240

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1568803450
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2013
Record last updated: 9 Jul 2013

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.