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Individual

MS. MYRNA RACHELLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
1731 MALLORY LN STE 109, BRENTWOOD, TN 37027-7986
(615) 953-1400
Mailing address
9661 CLOVERCROFT RD, NOLENSVILLE, TN 37135-9449
(407) 267-1154

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU0362
TN
171100000X
Acupuncturist
AP 2723
FL

Other

Enumeration date
11/09/2009
Last updated
03/25/2020
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