Individual
CHERRY SHAUVWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1328 ROSLYN AVE SW, CANTON, OH 44710-2251
(330) 949-8714
Mailing address
1328 ROSLYN AVE SW, CANTON, OH 44710-2251
(330) 949-8714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-133314-M-IV
OH
Other
Enumeration date
09/14/2015
Last updated
09/18/2015
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