Individual
MRS. DAYNA ROSALIE BEADEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
799 N DEERLANE LOOP, OTIS, OR 97368-9677
(541) 994-7689
Mailing address
799 N DEERLANE LOOP, OTIS, OR 97368-9677
(541) 994-7689
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
127745
TX
164X00000X
Licensed Vocational Nurse
Primary
201030327LPN
OR
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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