Individual
TANAEJA COURTINAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14375 LEONARD AVE, WARREN, MI 48089-2860
(313) 733-7625
Mailing address
14375 LEONARD AVE, WARREN, MI 48089-2860
(313) 733-7625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704352904
MI
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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