Individual
MRS. LAJUANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28690 SOUTHFIELD RD, STE 194B, LATHRUP VILLAGE, MI 48076-2728
(248) 281-6147
(248) 234-8193
Mailing address
6255 VILLAGE PARK DR APT 202, WEST BLOOMFIELD, MI 48322-2172
(313) 525-2309
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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