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Individual

DEMETRIA KEMYATTA CUNNINGHAM-DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16000 W 9 MILE RD, STE 500, SOUTHFIELD, MI 48075-4802
(313) 655-3860
(866) 285-9802
Mailing address
16000 W 9 MILE RD, STE 500, SOUTHFIELD, MI 48075-4802
(313) 655-3860
(866) 285-9802

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
03/18/2010
Last updated
10/04/2016
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