Individual
MS. NANCY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546-7069
(616) 475-7569
Mailing address
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546-7069
(616) 475-7569
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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