Individual
MARSHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14707 WINTHROP ST, DETROIT, MI 48227-4104
(440) 506-0360
Mailing address
14707 WINTHROP ST, DETROIT, MI 48227-4104
(440) 506-0360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110633
MI
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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