Individual
CARRIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20650 GLENN ST, ELKHORN, NE 68022-2324
(402) 289-2579
Mailing address
20650 GLENN ST, ELKHORN, NE 68022-2324
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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