Individual
DAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15144 VIA CARMELLA DR, DEWITT, MI 48820-8692
(904) 451-1201
Mailing address
15144 VIA CARMELLA DR, DEWITT, MI 48820-8692
(904) 451-1201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47049267
MI
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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