Individual
ANEDRA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14113 CORRIDON AVE, MAPLE HEIGHTS, OH 44137-3226
(216) 536-3118
Mailing address
14113 CORRIDON AVE, MAPLE HEIGHTS, OH 44137-3226
(216) 536-3118
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2652179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2652179
—
OH
Enumeration date
05/27/2014
Last updated
05/27/2014
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