Individual
TASHEIA GENELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 BALAIS CT, GROVE CITY, OH 43123-1394
(614) 705-3931
Mailing address
2131 BALAIS CT, GROVE CITY, OH 43123-1394
(614) 705-3931
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TS149290
OH
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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