person
Andrea Davenport
Private Vehicle in Detroit, Michigan
NPI 1851772529

Andrea Davenport is a Private Vehicle based in Detroit, MI. Andrea Davenport practices in Detroit, MI. The NPI Number for Andrea Davenport is 1851772529 and holds a License No. D116067609949 (Michigan).

The current practice location address for Andrea Davenport is 17321 Indiana St, Detroit, MI and can be reached out via phone at 313-420-9633.

Location: 17321 Indiana St, Detroit, MI, 48221-2402
person
Provider Profile Details
NPI Number
1851772529
Provider Name
Andrea Davenport
Credential
Provider Entity Type
Individual
Gender
Male
Address
17321 Indiana St, Detroit, MI, 48221-2402
Phone Number
313-420-9633
Fax Number
Provider Enumeration Date
06/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17321 Indiana St
City
State
Zip
48221-2402
Phone Number
313-420-9633
Fax Number
person
Provider Business Mailing Address Details
Address
17321 Indiana St
City
State
Zip
48221-2402
Phone Number
313-420-9633
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
D116067609949 (Michigan)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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