Individual
MS. CHRISTINA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8449 BAYRIDGE RD, CICERO, NY 13039
(315) 720-2466
Mailing address
8449 BAYRIDGE RD, CICERO, NY 13039-9233
(315) 288-4051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312783
NY
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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