Individual
MRS. NANCY LUCILLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST CFA
Contact information
Practice address
929 NO ST FRACIS, WICHITA, KS 67214
(316) 806-8017
Mailing address
4009 HAVEN DR, DERBY, KS 67037
(316) 806-8017
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
IL
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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