Individual
MRS. STEPHANIE DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14117 LAUREL TRACE DR, CHARLOTTE, NC 28273-5699
(270) 300-1937
(704) 504-5857
Mailing address
14117 LAUREL TRACE DR, CHARLOTTE, NC 28273-5699
(270) 300-1937
(704) 504-5857
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
62996
NC
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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