Individual
JANINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 CAMPBELL AVE, PRESCOTT, AZ 86301-1211
(928) 717-3276
Mailing address
1845 CAMPBELL AVE, PRESCOTT, AZ 86301-1211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN183390
AZ
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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