Individual
PAMELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1847 BROOKMOOR CT NE, GRAND RAPIDS, MI 49505-7405
(616) 364-1893
Mailing address
1847 BROOKMOOR CT NE, GRAND RAPIDS, MI 49505-7405
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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