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Individual

KIMBERLY NOKOLE SMALLWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
31 W PLEASANT ST FL 1, RIVER ROUGE, MI 48218-1337
(313) 740-3409
Mailing address
31 W PLEASANT ST FL 1, RIVER ROUGE, MI 48218-1337
(313) 740-3409

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704373175
MI

Other

Enumeration date
10/20/2023
Last updated
10/20/2023
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