Individual
GAVIN IZAAK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
64500 STATE ROUTE 56, CREOLA, OH 45622-9006
(740) 248-8172
Mailing address
64500 STATE ROUTE 56, CREOLA, OH 45622-9006
(740) 248-8172
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
About Stedi
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