Individual
MISTY DAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
719 BLYTH RD, VICTORIA, TX 77904-2769
(817) 995-1290
Mailing address
732 N CHANDLER DR APT 3204, FORT WORTH, TX 76111-4250
(817) 995-1290
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TX
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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