Clarissa Yuvonne Davidson
Clarissa Yuvonne Davidson is a Prosthetist in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5705 Diaz AveFort Worth, TX 76107-5801
Phone: (318) 624-6614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X |
|---|
Record details
| NPI number | 1043047921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 16, 2024 |
| Last updated in NPPES | September 16, 2024 |
| Certification date | September 16, 2024 |
| Mailing address | 9979 Highway 79, Haynesville, LA 71038-4913 |
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