Individual
MS. SHIRLEY G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1864 WELCHWOOD CIR, INDIANAPOLIS, IN 46260-5532
(317) 802-1777
Mailing address
1864 WELCHWOOD CIR, INDIANAPOLIS, IN 46260-5532
(317) 802-1777
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CNAA0403623
IN
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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