Individual
SHARON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23363 SOUTH ROBIN RD, MANDEVILLE, LOUISIANA, LA 70470-0037
(985) 624-4100
(985) 624-4125
Mailing address
PO BOX 37, MANDEVILLE, LA 70470-0037
(985) 624-4100
(985) 624-4125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
242522
LA
Other
Enumeration date
02/12/2016
Last updated
02/20/2024
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