Johnathan Eugene Smith

NPI #1063015089 in Beckley, West Virginia

Provider Information

NPI Number: 1063015089
Entity Type: Individual
Name: Johnathan Eugene Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Nov 20, 2020
Last Updated: Nov 20, 2020

Practice Location

Address: 1614 S KANAWHA ST
City: Beckley
State: West Virginia
ZIP Code: 25801-6239
Phone: (304) 255-1397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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