Individual
PORSHY'A L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 N CHURCH ST, KALAMAZOO, MI 49007-2800
(269) 569-3832
Mailing address
755 DRAGONFLY APT 167, KALAMAZOO, MI 49009-3220
(269) 569-3832
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
S530690488021
MI
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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