Individual
LORETTA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 ANITA ST, FORT PIERCE, FL 34982-4006
(954) 263-6462
Mailing address
771 NW 17TH CT, POMPANO BEACH, FL 33060-5147
(754) 422-6302
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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