Individual
ENIGHSHA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10305 NE 39TH ST, SPENCER, OK 73084-5529
(405) 735-0515
Mailing address
10305 NE 39TH ST, SPENCER, OK 73084-5529
(405) 735-0515
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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