Individual
HOLLY SUE SMITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
72 SHELDON BLVD SE, 2ND FLOOR, GRAND RAPIDS, MI 49503-4234
(616) 742-3051
(616) 742-3070
Mailing address
1559 MULLINS AVE NW, GRAND RAPIDS, MI 49534-2432
(616) 742-0531
(616) 742-0370
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111783
MI
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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