Individual
MISS ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33870 BLUE STAR HWY APT 1107, MIDWAY, FL 32343-2434
(850) 264-1909
Mailing address
33870 BLUE STAR HWY, APT1107, MIDWAY, FLORIDA 32343
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
235607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235607
HOMEMAKE AND COMPANION SERVICES
—
Enumeration date
09/27/2018
Last updated
09/27/2018
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