Individual
TIARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 DERRICK TURNBOW AVE, CINCINNATI, OH 45214-2705
(513) 570-2558
Mailing address
719 DERRICK TURNBOW AVE, CINCINNATI, OH 45214-2705
(513) 570-2558
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SS701213
OH
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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