JONATHAN TYLER SMITH

LOUISVILLE, KY
NPI1255913307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
JONATHAN TYLER SMITH
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696
Mailing Address
JONATHAN TYLER SMITH
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696