Individual
MRS. SHANA LYNNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
134 N MADISON RD, LONDON, OH 43140-1014
(740) 852-5729
Mailing address
134 N MADISON RD, LONDON, OH 43140-1014
(740) 852-5729
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2317317
OH
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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