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Individual

MRS. COURTNEY MICHAELENE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
3150 N TENAYA WAY, SUITE 112, LAS VEGAS, NV 89128-0443
(702) 562-1777
(702) 671-6481
Mailing address
1701 W CHARLESTON BLVD, #215, LAS VEGAS, NV 89102-2325
(702) 671-2395
(702) 382-5388

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00559
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00559
AUDIOLOGIST
NV
01
284
HEARING AID SPECIALIST
NV
Enumeration date
11/05/2007
Last updated
12/04/2012
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