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Individual

JADE M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5911 LYONS ST APT B, ORLANDO, FL 32807-2831
(407) 399-3285
Mailing address
5911 LYONS ST APT B, ORLANDO, FL 32807-2831
(407) 399-3285

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5249482
FL

Other

Enumeration date
03/20/2022
Last updated
03/20/2022
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