Individual
KIMBERLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ESTHER ST, PONTIAC, MI 48341-2176
(248) 891-4508
Mailing address
50 ESTHER ST, PONTIAC, MI 48341-2176
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089775
MI
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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