Individual
MRS. CARRIE LAFRAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3245
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3245
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704229386
MI
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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