Individual
SHAWNNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
817 E 6TH ST, TISHOMINGO, OK 73460
(580) 371-2392
Mailing address
817 E 6TH ST, TISHOMINGO, OK 73460
(580) 371-2392
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
86759
OK
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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