Individual
MRS. CHRISTINE POMERANKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5436 WYOMING AVE, NEW PORT RICHEY, FL 34652-2953
(727) 686-1997
Mailing address
5436 WYOMING AVE, NEW PORT RICHEY, FL 34652-2953
(727) 686-1997
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
5614-6-GA
FL
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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