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Individual
WYNESHA DESIREE JOHNICAN-SMITH
Active
Individual
WYNESHA DESIREE JOHNICAN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN315777
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN315777
GA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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