Individual
ANDRE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1028 8TH ST, HUNTINGTON, WV 25701-3353
(304) 617-0733
Mailing address
1028 8TH ST, HUNTINGTON, WV 25701-3353
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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