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Individual

JOSEFINA DANIELLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1949 W RAY RD STE 23, CHANDLER, AZ 85224-4008
(877) 222-5348
Mailing address
1949 W RAY RD STE 23, CHANDLER, AZ 85224-4008
(877) 222-5348

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9117
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
AZ
Enumeration date
03/10/2022
Last updated
03/10/2022
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