Organization
SMARTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH STITH RN (OWNER/OPERATOR)
(636) 449-4700
Entity
Organization
Contact information
Practice address
16216 BAXTER RD, SUITE 100, CHESTERFIELD, MO 63017-4770
(636) 449-4700
(636) 449-2595
Mailing address
16216 BAXTER ROAD, SUITE 100, CHESTERFIELD, MO 63017
(636) 449-4700
(636) 449-2595
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
101659
MO
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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