Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
801 HAZEN ST STE C, PAW PAW, MI 49079-2008
(269) 657-5574
Mailing address
231 N SAGE ST APT 1B, KALAMAZOO, MI 49006-4027
(269) 330-8864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704228794
MI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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