Individual
ASHLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 GEORGETOWNE DR, O FALLON, IL 62269-3412
(618) 604-6367
Mailing address
903 GEORGETOWNE DR, O FALLON, IL 62269-3412
(618) 604-6367
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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