JALISA SHAWTAE SMITH

GRAND RAPIDS, MI
NPI1003631862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-11-18
Last Update Date2024-11-18
Business Address
Miss JALISA SHAWTAE SMITH
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
Mailing Address
Miss JALISA SHAWTAE SMITH
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number:
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