Individual
MRS. VANESSA NEVILLS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
510 E STONER AVE, OVERTON BROOK-VA HOSPITAL, SHREVEPORT, LA 71101-4243
(903) 247-8262
(903) 247-8273
Mailing address
1205 E MARSHALL AVE, LONGVIEW, TX 75601-5649
(903) 247-8262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14772
LA
Other
Enumeration date
08/14/2006
Last updated
11/19/2007
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