Individual
EMILY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
208 E EMERSON AVE, FAIRBORN, OH 45324-5303
(937) 397-3681
Mailing address
208 E EMERSON AVE, FAIRBORN, OH 45324-5303
(937) 397-3681
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
141317
OH
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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