Individual
CRYSTAL MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 E 7TH ST, MANCHESTER, OH 45144-1560
(937) 217-1243
Mailing address
612 E 7TH ST, MANCHESTER, OH 45144-1560
(937) 217-1243
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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