October Smith LPN

NPI 1144439076 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1144439076
Gender Female
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING PA, 19462-1047, US
Phone (610) 834-1122
Fax
Business Location
13 ROSANNE LN
ROCKVILLE MD, 20851-1563, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Maryland
License Number LP40209
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According to our database, October Smith LPN NPI is 1144439076, taxonomy code is 164W00000X and license number is LP40209, license state is located at Maryland. October Smith LPN physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number October Smith LPN has the Individual type.

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1144439076 NPI number is provided on an as is basis without warranty of any kind. 1144439076 is maintained by the National Plan & Provider Enumeration System. The contents of October Smith LPN are for informational purposes only.