Individual
MRS. VANESSA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(631) 427-3700
Mailing address
89 CLAYWOOD DR, BRENTWOOD, NY 11717-4813
(917) 743-2103
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326989
NY
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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