Individual
VICKI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1713 7TH ST, MUSKEGON, MI 49441-2426
(231) 726-4735
Mailing address
1713 7TH ST, MUSKEGON, MI 49441-2426
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108733
MI
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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