Individual
STACY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
14210 GLENWOOD ST, DETROIT, MI 48205-2829
(313) 922-4818
(248) 809-9888
Mailing address
14210 GLENWOOD ST, DETROIT, MI 48205-2829
(313) 922-4818
(248) 809-9888
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-56572
MI
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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