Individual
ANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 6TH ST SW, SUITE A2-710, CANTON, OH 44710-1702
(330) 454-8076
Mailing address
5023 BARRIE ST NW, CANTON, OH 44708-5003
(330) 575-1518
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15030
OH
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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