Individual
SHANIKA CARMELLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6118 MARBLE HOLLOW LN, KATY, TX 77450-5878
(346) 285-2244
Mailing address
6118 MARBLE HOLLOW LN, KATY, TX 77450-5878
(346) 285-2244
(832) 437-0421
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0060024089
TX
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/24/2019
Last updated
08/11/2020
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