Individual
MRS. TRACEY LYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 FAUSSETT RD, HOWELL, MI 48855-7205
(313) 443-3132
Mailing address
1212 FAUSSETT RD, HOWELL, MI 48855-7205
(313) 443-3132
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S530802564261
MI
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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