Individual
TANGICE DEISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20919 BIRNAM WOOD BLVD APT 133, HUMBLE, TX 77338-1868
(346) 842-7765
Mailing address
20919 BIRNAM WOOD BLVD APT 133, HUMBLE, TX 77338-1868
(346) 842-7765
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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