DERRELL SMITH

SYRACUSE, NY
NPI1700276243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  321023)
Enumeration Date2015-02-04
Last Update Date2015-02-04
Business Address
-- DERRELL SMITH
130 E BISSELL ST
SYRACUSE, NY 13207-1801
Phone number: 315-956-3690
Mailing Address
-- DERRELL SMITH
130 EAST BISSELL STREET
SYRACUSE, NY 13205
Phone number: 315-956-3690
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