Individual
JOHNTIONETTE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 DALTON DR, FLUSHING, MI 48433-2333
(810) 265-8199
Mailing address
6400 DALTON DR, FLUSHING, MI 48433-2333
(810) 265-8199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
12/07/2023
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