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Individual

SHANIKA CARMELLA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0060024089
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2019
Last updated
08/11/2020
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