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Individual

MS. MICHELLE LEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5743 MIAMI SHELBY RD, HOUSTON, OH 45333-9434
(937) 417-4382
Mailing address
636 MARTIN ST, GREENVILLE, OH 45331-1829
(937) 417-4382

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0335449
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0335449
OH
Enumeration date
11/30/2021
Last updated
01/25/2022
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