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Individual

MRS. YOLONDA YVETTE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7749 SHADY WATER LN, DAYTON, OH 45459-3688
(937) 329-1642
Mailing address
7749 SHADY WATER LN, DAYTON, OH 45459-3688
(937) 329-1642

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
172A00000X
Driver
Primary
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326012360
AGENCY NPI
OH
Enumeration date
07/11/2018
Last updated
01/15/2025
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