Individual
KAREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12850 LAHSER RD, APT 1B, DETROIT, MI 48223-3909
(248) 943-7257
Mailing address
12850 LAHSER RD, APT 1B, DETROIT, MI 48223-3909
(248) 943-7257
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114390
MI
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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