Wanda Jane Smith

NPI #1366220824 in Massillon, Ohio

Provider Information

NPI Number: 1366220824
Entity Type: Individual
Name: Wanda Jane Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 3850 EASTLYNN AVE NW
City: Massillon
State: Ohio
ZIP Code: 44646-1417
Phone: (330) 412-4381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X
Homemaker	376J00000X	Primary

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