Individual
KIMBERLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 LAKEVIEW BLVD APT 10212, WESTLAND, MI 48185-5858
(313) 316-3415
Mailing address
6515 LAKEVIEW BLVD APT 10212, WESTLAND, MI 48185-5858
(313) 316-3415
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
D120469585349
MI
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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