Individual
COLETTE SMOLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 VALLEYGATE DR STE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219
Mailing address
2804 FOREST GUMP DR APT H, FAYETTEVILLE, NC 28304-6308
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101800191
DRIVERS LICENSE
SC
Enumeration date
04/14/2010
Last updated
04/14/2010
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