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Jennifer Smith

Home Health Aide in North Las Vegas, NV. Individual provider (NPI-1).

NPI number1164059440
StatusActive
Last updated in NPPESMar 25, 2020

Details

NPI
1164059440
Entity type
Individual (NPI-1)
Name
Jennifer Smith
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 25, 2020
Certification date
Mar 25, 2020
Last updated
Mar 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1517 Santa Rosalia Dr
North Las Vegas, NV 89031-1010

Phone 702-929-3297

Mailing address

6448 Amanda Michelle Ln
North Las Vegas, NV 89086-1303

Phone 323-945-6718

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