Individual
DESTINEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 PARKCLIFFE AVE, YOUNGSTOWN, OH 44511-3149
(330) 951-7708
Mailing address
633 PARKCLIFFE AVE, YOUNGSTOWN, OH 44511-3149
(330) 951-7708
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0364434
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364434
—
OH
Enumeration date
11/13/2019
Last updated
11/13/2019
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