Individual
LAVETA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19224 BLOOM ST, DETROIT, MI 48234-2475
(586) 565-1188
Mailing address
19224 BLOOM ST, DETROIT, MI 48234-2475
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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