Individual
MARYANN HICKEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21114612
OH
163W00000X
Registered Nurse
Primary
4704121801
MI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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