Individual
EBONY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5920 BURGER ST, DEARBORN HEIGHTS, MI 48127-2412
(313) 898-5808
Mailing address
5920 BURGER ST, DEARBORN HEIGHTS, MI 48127-2412
(313) 898-5808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704268849
MI
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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