Individual
MR. TONY SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11303 VAUGHAN ST, DETROIT, MI 48228-1333
(313) 282-5004
Mailing address
11303 VAUGHAN ST, DETROIT, MI 48228-1333
(313) 282-5004
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
S530799014521
MI
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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