Individual
LEESIE SMOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2112 SANDY HOLLOW ROAD, BLOOMERY, WV 26817
(540) 504-8962
Mailing address
2112 SANDY HOLLOW ROAD, BLOOMERY, WV 26817
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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