Individual
MS. TRACY ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19389 HOOVER ST, DETROIT, MI 48205-2136
(313) 586-2413
Mailing address
19204 ALBANY ST # NA, DETROIT, MI 48234-2540
(313) 438-1700
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
01/01/2020
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