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Individual

MIRANDA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NPA, CPT

Contact information

Practice address
42383 GARFIELD RD UNIT 381286, CLINTON TOWNSHIP, MI 48038-7742
(844) 727-2011
(586) 421-4842
Mailing address
42383 GARFIELD RD UNIT 381286, CLINTON TOWNSHIP, MI 48038-0079
(313) 903-8830
(586) 421-4842

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
374U00000X
Home Health Aide

Other

Enumeration date
02/20/2015
Last updated
12/30/2015
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