Individual
BERNISHA SHALEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5725 FOURSON DR, CINCINNATI, OH 45233-4722
(513) 227-8783
Mailing address
5725 FOURSON DR, CINCINNATI, OH 45233-4722
(513) 227-8783
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
165133
OH
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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