Individual
MELVINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 WINGATE CT, AURORA, IL 60502-6320
(630) 286-3701
Mailing address
9050 S WALLACE ST, CHICAGO, IL 60620-2239
(312) 671-9753
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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