Individual
BETTY J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187 5TH AVE, TIFFIN, OH 44883-1204
(419) 443-8298
Mailing address
187 5TH AVE, TIFFIN, OH 44883-1204
(419) 443-8298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.445552
OH
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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