Individual
BILLIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
16892 DALE ST, EAST LIVERPOOL, OH 43920-9423
(330) 708-8012
Mailing address
16892 DALE ST, EAST LIVERPOOL, OH 43920-9423
(330) 708-8012
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
10013551
PA
376K00000X
Nurse's Aide
Primary
400768800608
OH
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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