Individual
MR. JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
SM821261
OH
1744G0900X
Graphics Designer
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
344600000X
Taxi
—
—
Other
Enumeration date
01/02/2018
Last updated
02/17/2024
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