Individual
JUSTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 2ND AVE, SIDNEY, OH 45365-1273
(937) 570-5849
Mailing address
818 2ND AVE, SIDNEY, OH 45365-1273
(937) 570-5849
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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