Individual
ELVITA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13929 HARPER AVE, DETROIT, MI 48213-3672
(313) 271-0055
Mailing address
26348 STANFORD DR W, SOUTHFIELD, MI 48033-2204
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703124754
MI
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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