Individual
MS. CHACHA CHAVONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 GERKE AVE APT 1, MANSFIELD, OH 44903-1571
(567) 307-9072
Mailing address
190 GERKE AVE APT 1, MANSFIELD, OH 44903-1571
(567) 307-9072
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
RK051473
OH
Other
Enumeration date
12/08/2025
Last updated
01/07/2026
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