Individual
AMINAT FAITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6310 S STATE HIGHWAY 360 APT 1831, GRAND PRAIRIE, TX 75052-8431
(817) 609-0293
Mailing address
6310 S STATE HIGHWAY 360 APT 1831, GRAND PRAIRIE, TX 75052-8431
(817) 609-0293
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
319803
TX
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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