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NPI Code Detail

MEDICARE: REBECCA YVONNE SMITH STNA

MEDICARE:   REBECCA YVONNE SMITH  STNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide400827581108OH

General Provider Information

NPI Number : 1508469859
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA YVONNE SMITH STNA
Provider Business Mailing Address
First Line : 323 N MATHISON ST
Second Line :
City : DAYTON
State : OH
Zip : 45417-2444
Country : US
Telephone Number : 937-212-3299
Fax Number :
Provider Business Practice Location Address
First Line : 323 N MATHISON ST
Second Line :
City : DAYTON
State : OH
Zip : 45417-2444
Country : US
Telephone Number : 937-212-3299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ REBECCA YVONNE SMITH STNA” Practice Location

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