Individual
EBONI LASHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1311 WILSON PL, HAMMOND, IN 46324-3200
(219) 408-8732
Mailing address
1311 WILSON PL, HAMMOND, IN 46324-3200
(219) 408-8732
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1704727
IN
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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