Individual
SONJI L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 AVALON WAY, BRANDON, MS 39047-7635
(832) 656-8622
Mailing address
313 AVALON WAY, BRANDON, MS 39047-7635
(832) 656-8622
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
800328648
MS
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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