Individual
MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REV, CHT, CBE, SBD
Contact information
Practice address
3451 LILA DR, ORLANDO, FL 32806-6543
(407) 791-7989
Mailing address
3451 LILA DR, ORLANDO, FL 32806-6543
(407) 791-7989
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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