Individual
MS. LIZA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPC-NP
Contact information
Practice address
601 JOHN ST STE M-124, KALAMAZOO, MI 49007-5377
(269) 341-7500
(269) 341-7561
Mailing address
7626 N 2ND ST, KALAMAZOO, MI 49009-8815
(269) 599-2901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG02210035
MI
Other
Enumeration date
02/03/2021
Last updated
02/05/2021
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