Mr. Dominic Dewayne Smith
Mr. Dominic Dewayne Smith is a Peer Specialist in Richmond, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
400 Stoddard RdRichmond, MI 48062-2505
Phone: (810) 392-2167
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1053148536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 18, 2024 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 16, 2024 |
| Mailing address | 400 Stoddard Rd, Richmond, MI 48062-2505 |
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