NPI | 1861824633 |
---|---|
Professional Name | KAZAMA O'VELLA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN-095533) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN08264) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2013-08-05 |