Individual
AYANNA S SMITHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
279 E 3RD ST, NEW YORK, NY 10009-7813
(850) 021-2477
Mailing address
100 E 21ST ST APT 103, BROOKLYN, NY 11226-3020
(347) 430-0334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
268382
NY
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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