Individual
MRS. RAYVON ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 NE 39TH ST, SPENCER, OK 73084-1808
(405) 771-8742
Mailing address
8400 NE 39TH ST, SPENCER, OK 73084-1808
(405) 771-8742
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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