Individual
MARY CARLETTA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 W CRAIG RD, NORTH LAS VEGAS, NV 89032-0217
(702) 399-2341
Mailing address
1807 W CRAIG RD, NORTH LAS VEGAS, NV 89032-0217
(702) 399-2341
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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