Individual
CHENIKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 HANEY RD, DAYTON, OH 45416-2056
(937) 371-5796
Mailing address
3860 HANEY RD, DAYTON, OH 45416-2056
(937) 371-5796
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444484
—
OH
Enumeration date
08/02/2021
Last updated
08/02/2021
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