Individual
DELOIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 AVONDALE AVE, TOLEDO, OH 43604-8304
(419) 297-6281
Mailing address
616 AVONDALE AVE, TOLEDO, OH 43604-8304
(419) 297-6281
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
401369770312
OH
3747A0650X
Attendant Care Provider
Primary
401369770312
OH
385H00000X
Respite Care
401369770312
OH
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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