Individual
REBECCA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E EDGEWOOD BLVD APT 314, LANSING, MI 48911-5988
(517) 388-5712
Mailing address
505 E EDGEWOOD BLVD APT 314, LANSING, MI 48911-5988
(517) 388-5712
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
05/24/2016
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