Individual
MRS. GLADYS KABAMBA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
104 E MAIN ST, ANDERSON, MO 64831-4103
(417) 845-6984
(417) 845-6976
Mailing address
1501 LANCELOT ST, LOWELL, AR 72745-9598
(479) 166-1553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08210825
AR
Other
Enumeration date
09/27/2022
Last updated
08/16/2023
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