Individual
LYNETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5310 NORTON RD, CENTRAL, AZ 85531-0098
(928) 348-7212
Mailing address
PO BOX 98, THATCHER, AZ 85552-0098
(928) 348-7212
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN067007
AZ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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