Individual
HOPE ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WILKIE RD, MOORELAND, OK 73852-8921
(580) 851-0114
Mailing address
408030 SCR 213, MOORELAND, OK 73852
(580) 851-0114
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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