Individual
MS. D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57899 W RHODES AVE, DATELAND, AZ 85333-5540
(623) 256-3963
Mailing address
57899 W RHODES AVE, DATELAND, AZ 85333-5540
(623) 256-3963
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
SMITHDANG411
AZ
Other
Enumeration date
11/04/2016
Last updated
02/22/2017
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