Individual
JODI MICHELE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 E 12TH ST, OSWEGO, NY 13126-2807
(315) 532-8098
Mailing address
746 COUNTY ROUTE 25, OSWEGO, NY 13126-5712
(315) 532-8098
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
733845
NY
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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