Shasta Davis, CMP

NPI #1104031665 in Malvern, Arkansas

Provider Information

NPI Number
1104031665
Entity Type
Individual
Name
Shasta Davis, CMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
CMP
Enumeration Date
May 10, 2007
Last Updated
Oct 14, 2008

Practice Location

Address
1708 E PAGE AVE
ZIP Code
72104-4540
Phone
(501) 332-4437

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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