Individual
MS. CHARAEL LEIASHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN/LVN
Contact information
Practice address
4654 VALLEJO DR, TOLEDO, OH 43615-6130
(419) 356-6128
(567) 315-8598
Mailing address
4654 VALLEJO DR, TOLEDO, OH 43615-6130
(419) 356-6128
(567) 315-8598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
185418
OH
343900000X
Non-emergency Medical Transport (VAN)
TU213035
OH
374U00000X
Home Health Aide
401715600115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199886
—
OH
Enumeration date
11/04/2015
Last updated
06/30/2025
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