Individual
ALINA DESHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 INDIANOLA AVE, ELKINS, WV 26241-7436
(681) 298-0667
Mailing address
184 INDIANOLA AVE, ELKINS, WV 26241-7436
(681) 298-0667
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
G036688
WV
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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