Individual
KELISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 MICHIGAN AVE, PONTIAC, MI 48342-2745
(248) 745-7379
Mailing address
713 E PIKE ST, PONTIAC, MI 48342-2975
(810) 316-8239
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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