Individual
TRACY JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4259 N WILLIAMSTON RD, WILLIAMSTON, MI 48895-9175
(989) 494-8110
Mailing address
4259 N WILLIAMSTON RD, WILLIAMSTON, MI 48895-9175
(989) 494-8110
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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