Individual
MS. GLENDA FAYE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT REFLEXOLOGIST
Contact information
Practice address
15041 FAUST, DETROIT, MI 48223
(313) 272-3702
Mailing address
15041 FAUST, DETROIT, MI 48223-2324
(313) 272-3702
(313) 272-3702
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
MI
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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