Individual
TANESHA NICOLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 W CLARKE AVE, MILFORD, DE 19963-1849
(302) 503-7650
Mailing address
102 CRICKET AVE, ARDMORE, PA 19003-1310
(610) 766-1486
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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