Individual
ADRIENNE DENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2031 PARKDALE DR, PORT HURON, MI 48060-6887
(231) 578-8945
Mailing address
2031 PARKDALE DR, PORT HURON, MI 48060-6887
(231) 578-8945
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703091482
MI
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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