Search › Indiana › 103TB0200X
Eboni Smith
NPI 1477230589 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4121 Lincoln St Apt 2
Gary, IN 46408 - Phone
- (872) 301-0893
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana