Individual
EVELYN ML SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7642 N 78TH ST, MILWAUKEE, WI 53223-3972
(414) 712-3930
Mailing address
7642 N 78TH ST, MILWAUKEE, WI 53223-3972
(414) 712-3930
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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