Individual
TANISHA LEANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07001108A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 3402
FL
Other
Enumeration date
05/03/2010
Last updated
06/23/2020
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