Individual
VENNETTA M SMITH-WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21270 CAROL DR, EUCLID, OH 44119-1829
(216) 973-7383
(216) 291-7684
Mailing address
21270 CAROL DR, EUCLID, OH 44119-1829
(216) 973-7383
(216) 291-7684
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RK885070
OH
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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