Individual
MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14049 MINOCK ST, DETROIT, MI 48223
(313) 412-1544
Mailing address
14049 MINOCK ST, DETROIT, MI 48223-2873
(313) 412-1544
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4703116164
MI
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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