Individual
TONYA KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7712 MEADOW VIEW CIR, UNION, MO 63084-2430
(314) 791-3125
Mailing address
4473 FOREST PARK AVE, SAINT LOUIS, MO 63108-2211
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2000175167
MO
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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