Individual
TALASHIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 HURON CT APT 8, EAST CHICAGO, IN 46312-7401
(219) 730-8095
Mailing address
3840 HURON CT APT 8, EAST CHICAGO, IN 46312-7401
(219) 730-8095
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IN
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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