Individual
MS. DIANDRA CHEVAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
14113 TOKAY AVE, MAPLE HEIGHTS, OH 44137-3837
(234) 281-8917
Mailing address
14113 TOKAY AVE, MAPLE HEIGHTS, OH 44137-3837
(234) 281-8917
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
379637230501
OH
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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