Individual
LATOSHA LYNISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN,PHN
Contact information
Practice address
5241 WILSON MILLS RD STE 31A, RICHMOND HEIGHTS, OH 44143-2142
(661) 916-0470
Mailing address
2503 DYSART RD, UNIVERSITY HEIGHTS, OH 44118-4406
(661) 916-0470
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
487060
OH
164W00000X
Licensed Practical Nurse
168110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/01/2018
Last updated
09/15/2022
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