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Individual

ANGEL YVETTE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1157 MORNINGVIEW AVE, AKRON, OH 44305-4513
(216) 924-6101
Mailing address
1157 MORNINGVIEW AVE, AKRON, OH 44305-4513

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
774145228303
INDIVIDUAL PRACTIONER
Enumeration date
01/10/2018
Last updated
08/25/2021
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