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Individual

VANESSA R DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2352 WINDY RIDGE DR, MUSKEGON, MI 49442-1474
(231) 780-8283
Mailing address
2352 WINDY RIDGE DR, MUSKEGON, MI 49442-1474
(231) 780-8283

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5801000183
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CV0056702
MI
Enumeration date
07/16/2020
Last updated
07/16/2020
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