Individual
JOANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3638
(616) 455-0960
(616) 455-7324
Mailing address
4255 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3638
(616) 455-0960
(616) 455-7324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704103700
MI
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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