Individual
CERENA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 COAST GUARD RD, VENICE, LA 70091-4340
(504) 534-2332
Mailing address
436 COAST GUARD RD, VENICE, LA 70091-4340
(504) 534-2332
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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