NPI 1023283199

Tina M Cross- Smothers

Practitioner Driver Canton, OH

Practice location

Address: 110 Clarendon Ave NW, Canton, OH 44708-4623
Phone: (330) 455-1352

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence RL532515 (OH)

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Registry record

NPI: 1023283199
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.