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Jacqueline Smith Davis
NPI 1235779406 · on the registry since 2020 · sole proprietor
Practice
- Address
- 16609 Archdale St
Detroit, MI 48235 - Phone
- (313) 974-0175
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan