Individual
GENEVA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/CMA/RA
Contact information
Practice address
1324 S BLUFFVIEW DR APT 221, WICHITA, KS 67218-3015
(316) 559-5194
Mailing address
1324 S BLUFFVIEW DR APT 221, WICHITA, KS 67218-3015
(316) 559-5194
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
151861
KS
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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