Individual
TONJA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6821 MEDBURY ST, DETROIT, MI 48211-3317
(313) 922-2222
Mailing address
6821 MEDBURY ST, DETROIT, MI 48211-3317
(313) 922-2222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703091530
MI
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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