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Individual

KIMBERLY DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35511 FORD RD, WESTLAND, MI 48185-3113
(248) 968-2415
Mailing address
1312 BERKSHIRE ST, WESTLAND, MI 48186-5369
(248) 968-2415

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001885
MI

Other

Enumeration date
01/04/2024
Last updated
01/04/2024
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