Individual
JACLYN LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 E STATE ST FL 3, ALLIANCE, OH 44601-4936
(330) 821-8502
(330) 627-0088
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN314459
OH
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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