Individual
JAKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22052 US HIGHWAY 68, BLANCHESTER, OH 45107-9658
(937) 728-2809
Mailing address
22052 US HIGHWAY 68, BLANCHESTER, OH 45107-9658
(937) 728-2809
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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