Individual
CHANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14060 WINCHESTER LN, GULFPORT, MS 39503-5008
(228) 596-8714
Mailing address
14060 WINCHESTER LN, GULFPORT, MS 39503-5008
(228) 596-8714
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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