NPI 1982259644

Tyronell Monique Davis, COSMETOLOGIST

Practitioner Prosthetist New Orleans, LA

Practice location

Address: 4066 Gibson St, New Orleans, LA 70122-1622
Phone: (504) 266-6601

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 386069 (LA)

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Registry record

NPI: 1982259644
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2019
Record last updated: 8 Aug 2019

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.