Individual
NIKKIE LEDELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 BASSWOOD AVE, DAYTON, OH 45405-3110
(937) 269-9590
Mailing address
148 BASSWOOD AVE, DAYTON, OH 45405-3110
(937) 269-9590
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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