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Individual

AMY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
566 S 3RD ST, APT 7C, COSHOCTON, OH 43812-2050
(330) 275-9791
Mailing address
566 S 3RD ST, APT 7C, COSHOCTON, OH 43812-2050
(330) 275-9791

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
401022231209
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA
OH
Enumeration date
03/10/2017
Last updated
03/10/2017
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