Individual
CLARICE LENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3866 EMMA PKWY, LIMA, OH 45806-1200
(567) 712-3456
Mailing address
3866 EMMA PKWY, LIMA, OH 45806-1200
(567) 712-3456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
166470
OH
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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