Individual
GAYLE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 W THIRD ST, CHARLOTTE, MI 48813-2175
(517) 543-0172
Mailing address
321 W THIRD ST, CHARLOTTE, MI 48813-2175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704211078
MI
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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