Individual
CLARA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2497 E 110TH ST, CLEVELAND, OH 44104-2667
(216) 339-8308
Mailing address
2497 E 110TH ST, CLEVELAND, OH 44104-2667
(216) 339-8308
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401893780816
OH
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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