Individual
ELEANOR NICHOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2913 BURBANK AVE, MIDDLETOWN, OH 45044-6919
(513) 705-0319
Mailing address
2913 BURBANK AVE, MIDDLETOWN, OH 45044-6919
(513) 705-0319
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.144787-M-IV
OH
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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