Individual
ROXANA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8511 HONEYTREE BLVD APT 246, CANTON, MI 48187-4175
(734) 656-8109
Mailing address
PO BOX 85103, WESTLAND, MI 48185-0103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007581
MI
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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