Individual
RAVEN JANEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1405 SOUTHWOOD PLANTATION RD APT 4202, TALLAHASSEE, FL 32311-4221
(716) 201-9862
Mailing address
1405 SOUTHWOOD PLANTATION RD APT 4202, TALLAHASSEE, FL 32311-4221
(716) 201-9862
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9555701
FL
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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