Individual
MELANIE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
40520 CO HWY 34, WHITE EARTH HEALTH CENTER, OGEMA, MN 56569
(218) 983-4300
(218) 983-6217
Mailing address
274 CHERRY RIDGE DR, DETROIT LAKES, MN 56501
(218) 844-5597
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0599524
MN
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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