Individual
SIMONA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2107 S 11TH ST, NILES, MI 49120-4060
(269) 683-5573
(269) 683-7621
Mailing address
503 FULTON ST, BUCHANAN, MI 49107-1427
(269) 262-9820
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303002939
MI
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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