Individual
MISS DESTINY ARRION SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
824 OSMOND AVE, DAYTON, OH 45402-5239
(937) 559-7125
Mailing address
824 OSMOND AVE, DAYTON, OH 45402-5239
(937) 559-7125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.149964.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN.149964.MEDS-IV
OHIO BOARD OF NURSING
OH
Enumeration date
10/09/2018
Last updated
10/09/2018
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