Individual
MISS GESHELLE NICHOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 PALMER CT, FAIRFIELD, OH 45014-5072
(513) 403-7794
(513) 742-5036
Mailing address
19 PALMER CT, FAIRFIELD, OH 45014-5072
(513) 403-7794
(513) 742-5036
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN144143
OH
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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