Individual
SHARA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
974 HAWTHORNE AVE E, SAINT PAUL, MN 55106-2012
(651) 247-3581
Mailing address
4835 PORTLAND AVE, MINNEAPOLIS, MN 55417-1033
(651) 247-3581
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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