Mary Davenport
Licensed Practical Nurse in Clinton Twp, MI. Individual provider (NPI-1).
NPI number1962855692
StatusActive
Last updated in NPPESJul 18, 2016
Details
- NPI
- 1962855692
- Entity type
- Individual (NPI-1)
- Name
- Mary Davenport
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2016
- Last updated
- Jul 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703011830 | MI | Yes |
Practice location
37520 Harper Ave Apt 107Clinton Twp, MI 48036-3077
Phone 313-208-5882
Mailing address
37520 Harper Ave Apt 107Clinton Twp, MI 48036-3077
Phone 313-208-5882
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All 11 Licensed Practical Nurse providers in Clinton Twp · All 1,235 providers in Clinton Twp
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