Most Relevant Information
Provider Data
| NPI Number: | 1003543158 |
| Provider Name: | DEZAREE DANELLE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2022 |
| Last Updated: | 08/08/2022 |
Provider Practice Location
5198 RICHMOND RD
BEDFORD
OH
441461331
Practice Location Phone/Fax
| Phone: | 2163789101 |
| Fax: |
Provider Mailing Location
6811 MAYFIELD RD APT 591
CLEVELAND
OH
441242222
Provider Mailing Phone/Fax
| Phone: | 2164017071 |
| Fax: |