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Kerisa Smith

NPI 1952036881 · on the registry since 2022 · sole proprietor

Practice

Address
603 Whitley Ave
Joliet, IL 60433
Phone
(815) 641-6569

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2022-07-25

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 Illinois