Individual
LATOYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
Mailing address
380 MCKINLEY AVE, STRATFORD, CT 06615-7225
(203) 726-6570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7812
CT
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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