Individual
MISS TAKEERA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 CORPORATE SQUARE DR STE E, SLIDELL, LA 70458-3163
(985) 445-1014
Mailing address
1925 CORPORATE SQUARE DR STE E, SLIDELL, LA 70458-3163
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
00000
LA
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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