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Elyse Smalley

Student in an Organized Health Care Education/Training Program in Holland, MI. Individual provider (NPI-1).

NPI number1356718878
StatusActive
Last updated in NPPESSep 1, 2015

Details

NPI
1356718878
Entity type
Individual (NPI-1)
Name
Elyse Smalley
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2015
Last updated
Sep 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

222 Fairbanks Ave
Holland, MI 49423-3735

Phone 616-395-7098

Mailing address

3169 Thistle Ct
Saline, MI 48176-9576

Phone 734-834-7153

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