Individual
MRS. AUTUM PENN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1518 DILLOWAY DR, MIDLAND, MI 48640-2786
(989) 948-3369
Mailing address
1518 DILLOWAY DR, MIDLAND, MI 48640-2786
(989) 948-3369
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704226537
MI
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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