Individual
MS. RENITA G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4044 W LAKE MARY BLVD, 257, LAKE MARY, FL 32746-2012
(585) 303-6776
(321) 206-8760
Mailing address
4044 W LAKE MARY BLVD, 257, LAKE MARY, FL 32746-2012
(585) 303-6776
(321) 206-8760
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
641116070073
FL
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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