Individual
DIANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 S 44TH ST APT 2058, PHOENIX, AZ 85044-4887
(480) 496-5962
Mailing address
13601 S 44TH ST APT 2058, PHOENIX, AZ 85044-4887
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
7681A
AZ
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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