Deidre Davis

NPI #1134522311 in Southfield, Michigan

Provider Information

NPI Number: 1134522311
Entity Type: Individual
Name: Deidre Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 2, 2014
Last Updated: Oct 2, 2014

Practice Location

Address: 15565 NORTHLAND DR W STE 411
City: Southfield
State: Michigan
ZIP Code: 48075-5317
Phone: (248) 559-5301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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