Individual
RYAN LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 S DUPONT HWY, DOVER, DE 19901-4401
(833) 886-2277
Mailing address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
(833) 886-2277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0012752
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L2-0012752
—
DE
Enumeration date
02/04/2022
Last updated
02/04/2022
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