Individual
MISS ALLYSHA TAWANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
204 MACDADE BLVD, YEADON, PA 19050-3835
(484) 469-3787
Mailing address
204 MACDADE BLVD, YEADON, PA 19050-3835
(484) 469-3787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN706154
PA
163WH0200X
Home Health Registered Nurse
Primary
RN706154
PA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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