Doctor Name: | DARLENE SMITH |
NPI Number: | 1881097178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 405404 |
Business Practice Address: | 565 W Penn Pike Tamaqua, PA - 182525673 |
Business Phone Number: | 5702250354 |
Business Fax Number: | |
Mailing Address: | 565 W Penn Pike, TAMAQUA |
State: | PA |
Postal Code: | 182525673 |
Phone Number: | 5702250354 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 405404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |