Individual
JIMESHIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
G3100 MILLER RD APT 9D, FLINT, MI 48507-1313
(810) 775-7502
Mailing address
G3100 MILLER RD APT 9D, FLINT, MI 48507-1313
(810) 775-7502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125781
MI
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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