Tyronell Monique Davis, cosmetologist
Prosthetist in New Orleans, LA. Individual provider (NPI-1).
NPI number1982259644
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1982259644
- Entity type
- Individual (NPI-1)
- Name
- Tyronell Monique Davis
- Credential
- cosmetologist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2019
- Last updated
- Aug 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | 386069 | LA | Yes |
Practice location
4066 Gibson StNew Orleans, LA 70122-1622
Phone 504-266-6601
Mailing address
4066 Gibson StNew Orleans, LA 70122-1622
Phone 504-266-6601
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All 5 Prosthetist providers in New Orleans · All 16,958 providers in New Orleans
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