Individual
AMY GRACE DUFOUR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
301 E BETHANY HOME RD, C-298, PHOENIX, AZ 85012-1263
(602) 405-3744
Mailing address
4210 N 33RD PL, PHOENIX, AZ 85018-4730
(602) 405-3744
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM189
AZ
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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