THEODORE ROOSEVELT SMITH

CINCINNATI, OH
NPI1144790627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.168854.MEDS-IV)
Enumeration Date2018-11-28
Last Update Date2018-11-28
Business Address
Mr. THEODORE ROOSEVELT SMITH LPN
830 EZZARD CHARLES DRIVE
CINCINNATI, OH 45214
Phone number: 513-381-6672
Mailing Address
Mr. THEODORE ROOSEVELT SMITH LPN
830 EZZARD CHARLES DR
CINCINNATI, OH 45214-2525
Phone number: 513-381-6672
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