Most Relevant Information
Provider Data
| NPI Number: | 1003223751 |
| Provider Name: | TAMARA SMITH LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN116549 |
Most Important Dates
| Enumeration Date: | 07/15/2014 |
| Last Updated: | 07/15/2014 |
Provider Practice Location
15 N KNIFFIN ST
GREENWICH
OH
448371103
Practice Location Phone/Fax
| Phone: | 4199214051 |
| Fax: |
Provider Mailing Location
15 N KNIFFIN ST
GREENWICH
OH
448371103
Provider Mailing Phone/Fax
| Phone: | 4199214051 |
| Fax: |