Individual
MS. CARLY JEANANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4631 WHITE OAK RD NE, BLOOMINGBURG, OH 43106-9768
(740) 505-2751
Mailing address
4631 WHITE OAK RD NE, BLOOMINGBURG, OH 43106-9768
(740) 505-2751
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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