NPI 1629590609
Marie Davis, LPN
Practice location
- Address
- 14049 Minock St, Detroit, MI 48223
- Phone
- (313) 412-1544
- Mailing address
- 14049 Minock St, Detroit, MI 48223-2873
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1629590609
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jul 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.