Individual
SUSAN MARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS, BC, ONC
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8538
Mailing address
5463 WOODBRIDGE LN, KETTERING, OH 45429-2059
(937) 439-1558
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
155617
OH
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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