Individual
MIKAYLA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2175 MOUNT VIEW DR, FALLON, NV 89406-8855
(619) 203-4140
Mailing address
2175 MOUNT VIEW DR, FALLON, NV 89406-8855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-4109
NV
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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