Individual
MS. DALE ANDREA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 RAILWAY ST, CRYSTAL FALL, MI 49920
(906) 282-2547
Mailing address
216 RAILWAY ST, CRYSTAL FALL, MI 49920
(906) 282-2547
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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