Individual
SHAMIKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 733-3488
Mailing address
7 BURNS AVE, ENFIELD, CT 06082-3524
(860) 920-8700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98049
MA
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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