Individual
MS. SHONNA SHANEICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 553-7037
(269) 382-0019
Mailing address
1908 S BURDICK ST, KALAMAZOO, MI 49001-3626
(269) 217-3108
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704298740
MI
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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