Individual
KALISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 DUNN ST, TALLAHASSEE, FL 32304-2461
(850) 405-0089
Mailing address
720 DUNN ST, TALLAHASSEE, FL 32304-2461
(850) 405-0089
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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