Individual
ALFREDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704155483
MI
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4704155483
MI
Other
Enumeration date
03/21/2017
Last updated
11/30/2022
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