Individual
CLARE ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
23948 NANCY DR, SAND LAKE, MI 49343-9788
(720) 757-2835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125855
MI
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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