DOMINIQUE SMITH

DETROIT, MI
NPI1689067043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703111582)
Enumeration Date2015-03-10
Last Update Date2015-03-10
Business Address
-- DOMINIQUE SMITH
18424 KLINGER ST
DETROIT, MI 48234-1718
Phone number: 313-618-3342
Mailing Address
-- DOMINIQUE SMITH
18424 KLINGER ST
DETROIT, MI 48234-1718
Phone number: 313-618-3342
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