Individual provider · NPI-1

Davlin Jordan Marshall Sr.

Health & Wellness Coach · New Orleans, LA

NPI number1982462867
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1982462867
Entity type
Individual (NPI-1)
Name
Mr. Davlin Jordan Marshall Sr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 6, 2024
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171400000X Health & Wellness Coach–LAYes
347D00000X Train––

Practice location

3233 Saint Bernard Ave Ste B
New Orleans, LA 70119-1918

Phone 504-610-4809

Mailing address

4932 Elysian Fields Ave
New Orleans, LA 70122-4009

Phone 504-610-4809

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