Individual
JONAESHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
8338 LYCOMING CREEK ROAD, COGAN STATION, PA 17728
(570) 506-0093
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN307323
PA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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