Individual
MRS. LISA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SQUADRON PL, PALM COAST, FL 32164-5361
(386) 437-5593
(262) 437-5596
Mailing address
8 SQUADRON PL, PALM COAST, FL 32164-5361
(386) 437-5593
(262) 437-5596
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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