Individual
KANIYA KASHELL SMOTHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3834A COTEBRILLIANTE AVE., ST LOUIS , MO, MO 63113
(314) 489-8686
Mailing address
721 SCIECEHILL DR., ST.LOUIS, MO 63137
(314) 489-8686
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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