Individual
MS. BRIDGETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Mailing address
3472 CORWIN RD APT 1114, WILLIAMSTON, MI 48895-9081
(517) 332-1616
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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