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Individual

DESTINY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1520 RUSSELL ST STE 101A, ORANGEBURG, SC 29115-6064
(803) 378-6733
Mailing address
1520 RUSSELL ST STE 101A, ORANGEBURG, SC 29115-6064
(803) 378-6733

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
SC

Other

Enumeration date
10/07/2020
Last updated
10/07/2020
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