Individual
MRS. ALLICIA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1088 FLYNT DR, FLOWOOD, MS 39232-8886
(601) 932-8064
Mailing address
5936 CASTLE DR, MILTON, FL 32570-8711
(601) 559-7662
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P325545
MS
Other
Enumeration date
01/16/2011
Last updated
01/16/2011
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