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Individual

MRS. MARY ARMINTA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3464
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001068677
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024068677
VA

Other

Enumeration date
07/04/2006
Last updated
05/02/2014
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