Individual
CJARDAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
CL1189139
FL
332BC3200X
Customized Equipment (DME)
CL1189139
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
CL1189139
FL
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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