Individual
MS. LAWREESE DESHAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
16242 MANOR ST, DETROIT, MI 48221-2859
(313) 982-2406
Mailing address
16242 MANOR ST, DETROIT, MI 48221-2859
(313) 982-2406
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MI000057051
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84453581
—
MI
Enumeration date
08/18/2020
Last updated
08/18/2020
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