Individual
GABRIELLE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11410 E LENNON RD, LENNON, MI 48449-9666
(810) 621-4721
Mailing address
1484 N M 52, OWOSSO, MI 48867-1235
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/21/2018
Last updated
04/11/2022
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