Individual
KARISSA RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(810) 487-5571
Mailing address
9585 HUNTINGTON RD, BATTLE CREEK, MI 49017-9734
(616) 427-7697
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128030
MI
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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