Individual
MRS. CHANDRA LARREASA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
609 QUEENS RD, GAINESVILLE, FL 32607-5719
(352) 949-1431
Mailing address
PO BOX 1005, ARCHER, FL 32618-1005
(352) 949-1431
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA126023
FL
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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