Individual
ASHLEE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 HIGHGROVE DR, SPRING LAKE, NC 28390-7179
(440) 554-8618
Mailing address
311 HIGHGROVE DR, SPRING LAKE, NC 28390-7179
(440) 554-8618
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SR692362
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040000217E
AULTCARE
OH
Enumeration date
04/04/2012
Last updated
04/04/2012
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