Individual
HOLLY BETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2379 BUFFALO RD, LAWRENCEBURG, TN 38464-4810
(931) 762-9406
Mailing address
621 SEOCND AVENUE SOUTH, LORETTO, TN 38469
(931) 853-5097
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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