Individual
JERRY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2170 CEDAR CREEK RD, CLEAR FORK, WV 24822
(304) 682-4552
Mailing address
PO BOX 254, CLEAR FORK, WV 24822-0254
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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