Individual
TERI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
690 S TRUMBULL, BAY CITY, MI 48708
(989) 922-4900
(989) 922-4911
Mailing address
690 S TRUMBULL, BAY CITY, MI 48708
(989) 922-4900
(989) 922-4911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703099053
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5609
ACCESS ALLIANCE OF MI
MI
Enumeration date
04/11/2007
Last updated
07/08/2007
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