Individual
MR. REGINALD BERNARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7031 HELEN WITT DR, APT 1001, LINCOLN, NE 68512-3623
(402) 420-7706
Mailing address
5445 NW 4TH ST, LINCOLN, NE 68521-5328
(402) 476-7544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58043
NE
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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