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Keona Lanceslin Davis

NPI 1346020484 · on the registry since 2023

Practice

Address
623 Franklin Ave
Gretna, LA 70053
Phone
(504) 533-9885
Organisation at this address
New Age Social Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
104100000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana