Individual
BETTY JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
20300 BL:OOM ST, DETROIT, MI 48234-2408
(313) 733-6018
Mailing address
20231 BLOOM ST, DETROIT, MI 48234-2408
(313) 320-6688
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
K5H2G6P4
MI
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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