Individual
ELIZABETH SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 HIGHLAND AVE, TOLEDO, OH 43610-1142
(248) 854-4284
Mailing address
630 HIGHLAND AVE, TOLEDO, OH 43610
(248) 854-4284
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
5298746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5298746
—
MI
Enumeration date
04/30/2024
Last updated
04/30/2024
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