Individual
KENISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 BEDROCK DR, JONESBORO, AR 72404
(870) 680-0849
Mailing address
4610 BEDROCK DR, JONESBORO, AR 72404
(870) 680-0849
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AR
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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