Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3106 JORCLAY DR TRLR 23, KENOVA, WV 25530-9533
(304) 638-3710
Mailing address
3106 JORCLAY DR TRLR 23, KENOVA, WV 25530-9533
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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