Individual
MRS. LATESHA EVYETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5530 WILEY ST, HOLLYWOOD, FL 33021-8033
(954) 774-5145
Mailing address
5530 WILEY ST, HOLLYWOOD, FL 33021-8033
(954) 774-5145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9173669
FL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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