Individual
MRS. MARY LYNN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 GARBER RD, DAYTON, OH 45415-2014
(937) 898-0601
(937) 898-0601
Mailing address
6401 GARBER RD, DAYTON, OH 45415-2014
(937) 898-0601
(937) 898-0601
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144825
—
OH
Enumeration date
06/14/2006
Last updated
07/08/2007
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