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1356940217
SMITHA AJESH
VENICE, FL
NPI
1356940217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11009329)
Enumeration Date
2020-10-21
Last Update Date
2021-02-05
Business Address
SMITHA AJESH APRN
1790 E VENICE AVE STE 204
VENICE, FL 34292-3191
Phone number: 941-488-8884
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Mailing Address
SMITHA AJESH APRN
1790 E VENICE AVE STE 204
VENICE, FL 34292-3191
Phone number: 941-488-8884
Copy
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