Individual
JASON LAMAR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 S 3RD ST, TIPP CITY, OH 45371-1734
(937) 856-5153
Mailing address
750 S 3RD ST, TIPP CITY, OH 45371-1734
(937) 856-5153
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
OH
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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