Individual
JENNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 SANTA ROSALIA DR, NORTH LAS VEGAS, NV 89031-1010
(702) 929-3297
Mailing address
6448 AMANDA MICHELLE LN, NORTH LAS VEGAS, NV 89086-1303
(323) 945-6718
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306384219
—
NV
Enumeration date
03/25/2020
Last updated
03/25/2020
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