Individual
MRS. DANITA MAYES DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2888 W GRAND BLVD, DETROIT, MI 48202-2612
(313) 875-4200
(313) 875-5727
Mailing address
721 4TH AVE, PONTIAC, MI 48340-2029
(248) 335-3724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704235790
MI
Other
Enumeration date
10/18/2017
Last updated
12/24/2018
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