Individual
MRS. JORDAN ASHLEY SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9842 AUDELIA RD APT 1100, DALLAS, TX 75238-1967
(501) 520-8670
Mailing address
9842 AUDELIA RD APT 1100, DALLAS, TX 75238-1967
(501) 520-8670
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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