Individual
LATOYA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 W STEWART ST, DAYTON, OH 45417-4050
(937) 829-1178
Mailing address
535 W STEWART ST, DAYTON, OH 45417-4050
(937) 829-1178
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RN746095
OH
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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