Tisha Smith

NPI #1649393166 in Avon, Indiana

Provider Information

NPI Number
1649393166
Entity Type
Individual
Name
Tisha Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Apr 9, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
541 SHORTLEAF DR
City
Avon
State
Indiana
ZIP Code
46123-8178
Phone
(317) 745-4570

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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