Individual
MARIA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8740 CHEROKEE ST, YOUNGSTOWN, FL 32466-2022
(850) 814-9765
Mailing address
8740 CHEROKEE ST, YOUNGSTOWN, FL 32466-2022
(850) 814-9765
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
07/21/2022
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