Individual
SHANDRIKA KEOIONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
2002 20TH ST STE B202, KENNER, LA 70062-4403
(985) 618-0543
Mailing address
271 SAINT ANDREWS BLVD, LA PLACE, LA 70068-1603
(985) 618-0543
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
842087
LA
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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