Individual
QIANA ELISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34267 STOCKMAN ST, CLINTON TOWNSHIP, MI 48035-3669
(313) 434-9541
Mailing address
34267 STOCKMAN ST, CLINTON TOWNSHIP, MI 48035-3669
(313) 434-9541
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
10/02/2025
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