Individual
FERNANDO BERNARD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26670 OAK ST, ROSEVILLE, MI 48066-3564
(586) 303-7985
Mailing address
26670 OAK ST, ROSEVILLE, MI 48066-3564
(586) 303-7985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011097
MI
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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