Yashica Smith
Technician, Personal Care Attendant in Poplar Bluff, MO. Individual provider (NPI-1).
NPI number1164095709
StatusActive
Last updated in NPPESJul 21, 2021
Details
- NPI
- 1164095709
- Entity type
- Individual (NPI-1)
- Name
- Yashica Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Jul 21, 2021
- Last updated
- Jul 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
205 W Midland StPoplar Bluff, MO 63901-6622
Phone 704-835-8534
Mailing address
205 W Midland StPoplar Bluff, MO 63901-6622
Phone 704-835-8534
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