Individual
MRS. CARLINE ANDREA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1635 CADNEY ST NE, CANTON, OH 44714-1192
(330) 491-0345
Mailing address
1635 CADNEY ST NE, CANTON, OH 44714-1192
(330) 491-0345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 109552
OH
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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