Individual
SAVANNAH GRACE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1291 OBIE ST, DAYTON, OH 45432-1562
(937) 321-0286
Mailing address
1291 OBIE ST, DAYTON, OH 45432-1562
(937) 321-0286
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602509260722
OH
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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