Individual
MISS RUSTIE LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PLAIN CITY GEORGESVILLE RD SE, GALLOWAY, OH 43119-9601
(614) 582-6965
(614) 879-9161
Mailing address
1401 PLAIN CITY GEORGESVILLE RD SE, GALLOWAY, OH 43119-9601
(614) 582-6965
(614) 879-9161
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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