Individual
BROOKLYN MARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N MICHIGAN AVE, SAGINAW, MI 48602-4732
(989) 401-9033
(989) 401-9034
Mailing address
3463 DEEP RIVER RD, STANDISH, MI 48658-9407
(989) 846-9631
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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