Individual
DAWN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50402 BAY RUN S, CHESTERFIELD, MI 48047-4675
(586) 899-8361
Mailing address
50402 BAY RUN S, CHESTERFIELD, MI 48047-4675
(586) 899-8361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110380
MI
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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