Individual
ANGEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5641 TROY VILLA BLVD, HUBER HEIGHTS, OH 45424-2645
(937) 356-3977
Mailing address
5641 TROY VILLA BLVD, HUBER HEIGHTS, OH 45424-2645
(937) 356-3977
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN120045-IV
OH
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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