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Katherine Jeansmithsmith-Madyu Smith-Madyunl, lpn

Licensed Practical Nurse in Cincinnati, OH. Individual provider (NPI-1).

NPI number1487828604
StatusActive
Last updated in NPPESApr 18, 2008

Details

NPI
1487828604
Entity type
Individual (NPI-1)
Name
Katherine Jeansmithsmith-Madyu Smith-Madyunl
Credential
lpn
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 18, 2008
Last updated
Apr 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nursepn 125811 ivOHYes

Practice location

872 Holyoke Dr
Cincinnati, OH 45240-1839

Phone 513-582-6894

Mailing address

872 Holyoke Dr
Cincinnati, OH 45240-1839

Phone 513-582-6894

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