Individual
MCKENZI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Mailing address
2509 MAYWOOD DR, SALT LAKE CITY, UT 84109-1613
(801) 599-2695
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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