Individual
SHAUNICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 BETHUNE RD, BALTIMORE, MD 21225-1503
(443) 636-1693
Mailing address
911 BETHUNE RD, BALTIMORE, MD 21225-1503
(443) 636-1693
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00180007
MD
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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