Individual
DEBRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
58144 GRATIOT AVENUE, NEW HAVEN, MI 48048
(586) 749-5197
Mailing address
555 SAINT CLAIR RIVER DR, ALGONAC, MI 48001-1802
(810) 794-4982
(810) 794-4407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704188728
MI
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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