Individual
SHATARA VIVIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(586) 305-2432
Mailing address
20506 LOCHMOOR ST, HARPER WOODS, MI 48225-1750
(586) 305-2432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
06/16/2026
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