Individual
STACIA SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 HEMLOCK DR, FAIRBORN, OH 45324-3540
(937) 516-6499
Mailing address
2139 MARTIN AVE, DAYTON, OH 45414-3350
(937) 250-4771
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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