Individual
CRYSTAL LYNN MACK-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27064 WHITE ST, CASSOPOLIS, MI 49031-8803
(269) 414-0183
Mailing address
27064 WHITE ST, CASSOPOLIS, MI 49031-8803
(269) 414-0183
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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