Individual
MS. LA TEASHA RA KAYLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 SNOWDROP CT, RICHMOND, TX 77469-5446
(832) 363-2566
Mailing address
4607 SNOWDROP CT, RICHMOND, TX 77469-5446
(832) 363-2566
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
—
TX
347E00000X
Transportation Broker
Primary
—
TX
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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