Individual
COREY LAMONT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 58TH ST N, CLEARWATER, FL 33760-3109
(727) 509-5112
Mailing address
2020 58TH ST N, CLEARWATER, FL 33760-3109
(727) 509-5112
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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