Provider Demographics
NPI:1184211005
Name:SNOWDEN-SMITH, LAJOSHA F (PCT)
Entity Type:Individual
Prefix:
First Name:LAJOSHA
Middle Name:F
Last Name:SNOWDEN-SMITH
Suffix:
Gender:F
Credentials:PCT
Other - Prefix:
Other - First Name:LJ
Other - Middle Name:
Other - Last Name:SNOWDEN-SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PCT
Mailing Address - Street 1:1963 EMERALD MIST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-0941
Mailing Address - Country:US
Mailing Address - Phone:210-455-8532
Mailing Address - Fax:
Practice Address - Street 1:1963 EMERALD MIST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-0941
Practice Address - Country:US
Practice Address - Phone:210-455-8532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-26
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty