Individual
MRS. CHARLENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7306 AUSTINBURG RD, ASHTABULA, OH 44004-9001
(440) 998-5222
Mailing address
7306 AUSTINBURG RD, ASHTABULA, OH 44004-9001
(440) 998-5222
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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