DATISIA M MCCOY

KENTWOOD, MI
NPI1144811027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: MI  230009775470405)
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
DATISIA M MCCOY
4674 STAUFFER AVE SE
KENTWOOD, MI 49508-5018
Phone number: 616-856-0556
Mailing Address
DATISIA M MCCOY
PO BOX 8331
KENTWOOD, MI 49518-8331
Phone number: 616-856-0556
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