Individual
DAVIYELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8320 LILLIAN, CENTER LINE, MI 48015-1635
(248) 895-7169
Mailing address
8320 LILLIAN, CENTER LINE, MI 48015-1635
(248) 895-7169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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