Individual
SHARON DESIREE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
400 S CONVERSE ST, SPARTANBURG, SC 29306-3520
(864) 310-3598
(864) 428-1213
Mailing address
735 FULTON AVE, SPARTANBURG, SC 29303-2841
(864) 564-7534
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
557052
SC
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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