Individual
LARUEEN J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24506 QUAD PARK LN, CLINTON TOWNSHIP, MI 48035-3024
(313) 618-2756
Mailing address
24506 QUAD PARK LN, CLINTON TOWNSHIP, MI 48035-3024
(313) 618-2756
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
403114985
MI
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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