Individual
MARQUITTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 FILLMORE ST NE, MINNEAPOLIS, MN 55421-2476
(161) 240-2076
Mailing address
4545 FILLMORE ST NE, MINNEAPOLIS, MN 55421-2476
(612) 402-0769
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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