Individual
MRS. TAKIESHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10341 CRESTRIDGE CT, FISHERS, IN 46037-9097
(317) 537-7930
Mailing address
10341 CRESTRIDGE CT, FISHERS, IN 46037-9097
(317) 537-7930
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
342954
IN
374J00000X
Doula
14664
IN
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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