Individual
MARQUITA MONIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16205 RAYMOND ST, MAPLE HEIGHTS, OH 44137-2820
(216) 534-5360
Mailing address
16205 RAYMOND ST, MAPLE HEIGHTS, OH 44137-2820
(216) 534-5360
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
401769380715
OH
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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