Lori Davis

NPI #1588194773 in Melvindale, Michigan

Provider Information

NPI Number: 1588194773
Entity Type: Individual
Name: Lori Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Jun 19, 2017
Last Updated: Jun 19, 2017

Practice Location

Address: 395 GALE BLVD APT 304
City: Melvindale
State: Michigan
ZIP Code: 48122-1720
Phone: (734) 286-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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