Individual
DARYL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA, CBRF CERTIFIED
Contact information
Practice address
7050 N PRESIDIO DR APT G, MILWAUKEE, WI 53223-6320
(414) 430-2938
Mailing address
7050 N PRESIDIO DR APT G, MILWAUKEE, WI 53223-6320
(414) 430-2938
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NA303604
WI
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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