Individual
KATRINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 LEE ST, MIDLAND, MI 48642-6596
(989) 443-3838
Mailing address
4433 MILLER RD, FLINT, MI 48507-1123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110503
MI
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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