Individual
MS. KEAUNA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 ROCKWELL AVE, PONTIAC, MI 48341-2262
(248) 941-1920
Mailing address
231 ROCKWELL AVE, PONTIAC, MI 48341-2262
(248) 941-1920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
27-2790307
MI
Other
Enumeration date
06/17/2010
Last updated
07/20/2010
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