Individual
JAYDEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E 12TH ST, ADA, OK 74820-6508
(580) 332-3001
(580) 332-8754
Mailing address
230 E 12TH ST, ADA, OK 74820-6508
(580) 332-3001
(580) 332-8754
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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