Individual
SHALANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N MAIN ST, NICHOLASVILLE, KY 40356-1134
(833) 510-4357
(866) 460-2997
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2031515
KY
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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