Individual
ANGELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-1687
(877) 407-2500
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-1687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704243056
MI
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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