Individual
KIMANI LESHAUN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 PEMBROKE RD APT 102, MIRAMAR, FL 33023-2680
(941) 623-3040
Mailing address
6840 PEMBROKE RD APT 102, MIRAMAR, FL 33023-2680
(941) 623-3040
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1285285
FL
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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