Individual
RYLEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
857 E MAIN ST STE 4, WILLOW SPRINGS, MO 65793-1512
(417) 469-7385
(417) 469-7386
Mailing address
857 E MAIN ST STE 4, WILLOW SPRINGS, MO 65793-1512
(417) 469-7385
(417) 469-7386
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
15658
MO
183700000X
Pharmacy Technician
2019001937
MO
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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