Individual
PATRICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 396-5300
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704226618
MI
Other
Enumeration date
05/01/2017
Last updated
04/03/2024
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