Individual
SHANNIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5543 HARMER ST, PHILADELPHIA, PA 19131-4834
(267) 212-8116
Mailing address
7332 GREENHILL RD, PHILADELPHIA, PA 19151-2219
(267) 212-8116
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
19522
PA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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