Individual
CRYSTAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
20129 TRACEY ST, DETROIT, MI 48235-1570
(313) 740-8855
Mailing address
20129 TRACEY ST, DETROIT, MI 48235-1570
(313) 740-8855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704346742
MI
164W00000X
Licensed Practical Nurse
4703108786
MI
Other
Enumeration date
07/17/2014
Last updated
08/25/2020
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