Individual
EMMA SHAWNTEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3154 FULMER RD APT 206, LORAIN, OH 44053-4723
(440) 453-9876
Mailing address
3154 FULMER RD APT 206, LORAIN, OH 44053-4723
(440) 453-9876
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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