Individual provider · Type 1 NPI

Andrea Davenport

Private Vehicle · Detroit, MI

NPI number 1851772529 Active

Practice location

17321 Indiana St
Detroit, MI 48221-2402

Call (313) 420-9633 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XD116067609949 (MI)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1851772529

Andrea Davenport's National Provider Identifier is 1851772529, issued on Jun 17, 2015. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 17, 2015.