Individual
MARLENE RAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
436 TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-3321
Mailing address
184 B LAGOON, BOX 4, KOTZEBUE, AK 99752
(907) 442-7443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24789
AK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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