Search › Michigan › 3747A0650X
Shenicak Davis
NPI 1326549148 · on the registry since 2018
Practice
- Address
- 16434 Constance Ave
Detroit, MI 48228 - Phone
- (313) 455-2910
- Organisation at this address
- Pelle'S Community Empowerment
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 6309 Mack Ave, Detroit, MI
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Also registered as
- 104100000X
106S00000X
3747P1801X
3747A0650X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-12
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