Individual
LAURA A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 331-3435
Mailing address
42449 LAKELAND CT, PLYMOUTH, MI 48170-2518
(734) 420-1514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704230620
MI
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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