Individual
LEAH RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 316-0576
(918) 457-4104
Mailing address
22772 S 494 RD, TAHLEQUAH, OK 74464-1631
(918) 575-4838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218416
OK
Other
Enumeration date
07/05/2024
Last updated
07/08/2024
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