Individual
GLYNNISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30200 TRUMAN AVE, WICKLIFFE, OH 44092-1728
(216) 804-5797
Mailing address
2024 W 87TH ST, CLEVELAND, OH 44102-3814
(216) 804-5797
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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