Individual
LAKESHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31391 BEAR CREEK BLVD, WARREN, MI 48093-1643
(248) 361-7967
Mailing address
31391 BEAR CREEK BLVD, WARREN, MI 48093-1643
(248) 361-7967
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
803257177
MI
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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