Individual
MRS. EBONY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
(513) 741-3100
Mailing address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
(513) 741-3100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.133245-M-IV
OH
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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