Individual
MAREKA DAVEY-FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 14TH ST APT 202, DETROIT, MI 48208-2685
(313) 296-6155
Mailing address
3600 14TH ST APT 202, DETROIT, MI 48208-2685
(313) 296-6155
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230015552120811
MI
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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