Individual
SHANEIKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 AUGUSTA DR, SYRACUSE, NY 13212-3230
(315) 247-9474
Mailing address
104 AUGUSTA DR, SYRACUSE, NY 13212-3230
(315) 247-9474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
345953
NY
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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