Most Relevant Information
Provider Data
| NPI Number: | 1003063496 |
| Provider Name: | ANGELA DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704243056 |
Most Important Dates
| Enumeration Date: | 08/27/2008 |
| Last Updated: | 08/27/2008 |
Provider Practice Location
35425 W MICHIGAN AVE
WAYNE
MI
481841687
Practice Location Phone/Fax
| Phone: | 8774072500 |
| Fax: |
Provider Mailing Location
35425 W MICHIGAN AVE
WAYNE
MI
481841687
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |