Individual
SHANTESE SMETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25535 CATALINA ST, SOUTHFIELD, MI 48075-1774
(248) 678-3850
Mailing address
PO BOX 48374, OAK PARK, MI 48237-5974
(248) 678-3850
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106071
MI
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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