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Individual

LEKEISHA DELYNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8925 SAGEBRUSH TRL, CROSSROADS, TX 76227-3821
(414) 640-3702
Mailing address
8925 SAGEBRUSH TRL, CROSSROADS, TX 76227-3821
(414) 640-3702

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
376K00000X
Nurse's Aide
NA10082939
TX
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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