Individual
MICHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4039 BENTLEY DR, PEARLAND, TX 77584-4909
(346) 917-4627
Mailing address
4039 BENTLEY DR, PEARLAND, TX 77584-4909
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42926905
DRIVERS LICENSE
TX
Enumeration date
11/21/2022
Last updated
11/21/2022
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