Individual
DAVIDA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 EDISON ST, DETROIT, MI 48206-2036
(313) 645-1005
Mailing address
1435 EDISON ST, DETROIT, MI 48206-2036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704310084
MI
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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