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Individual

LATOSHA LYNISHA SMITH

Active
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Individual

LATOSHA LYNISHA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN,PHN

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
487060
OH
164W00000X
Licensed Practical Nurse
168110
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/01/2018
Last updated
09/15/2022
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