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Individual

ANTOINETTE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34090 PINEWOODS CIR APT 206, ROMULUS, MI 48174-8215
(248) 808-2495
Mailing address
34090 PINEWOODS CIR APT 206, ROMULUS, MI 48174-8215
(248) 808-2495

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115181
MI

Other

Enumeration date
06/23/2015
Last updated
06/23/2015
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