Individual
MRS. BRANDY NICHOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
(419) 764-3589
Mailing address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
(419) 764-3589
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
142995
OH
164W00000X
Licensed Practical Nurse
Primary
PN.142995-M-IV
OH
Other
Enumeration date
01/25/2011
Last updated
09/10/2018
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