Individual
CRYSTAL DARNELLA WEAVER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CENA
Contact information
Practice address
18038 OAKFIELD ST, DETROIT, MI 48235-3279
(313) 208-0541
Mailing address
9650 GRAND RIVER AVE UNIT 4206, DETROIT, MI 48204-4014
(313) 208-0541
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230015025640610
MI
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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