Individual
MS. LINDA LEE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1295 JEFFWOOD DR, WATERFORD, MI 48327-2030
(248) 978-8370
Mailing address
1295 JEFFWOOD DR, WATERFORD, MI 48327-2030
(248) 978-8370
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703102623
MI
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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