Individual
JAKEENA SHAVON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 E PARK AVE, VINELAND, NJ 08360-3226
(856) 238-2385
Mailing address
818 E PARK AVE, VINELAND, NJ 08360-3226
(856) 238-2385
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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