Individual
DANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
719 CHARLES ST, COATESVILLE, PA 19320-2916
(484) 786-8789
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN260957L
PA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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