Individual
AMY SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E MEYER AVE, NEW CASTLE, PA 16105-2137
(724) 614-0510
Mailing address
831 HARRISON ST, NEW CASTLE, PA 16101-4870
(724) 614-0510
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN300749
PA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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