Individual
LEAH MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(973) 761-9000
Mailing address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(973) 761-9000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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