MRS. Samantha Jo Smith

NPI #1548953987 in Elyria, Ohio

Provider Information

NPI Number: 1548953987
Entity Type: Individual
Name: MRS. Samantha Jo Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: May 31, 2023
Last Updated: May 31, 2023

Practice Location

Address: 115 PORTIA CT
City: Elyria
State: Ohio
ZIP Code: 44035-8031
Phone: (216) 926-9072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Homemaker	376J00000X	Primary

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