Individual
SHARINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 PINON DR, SUITE E, COLLEGE STATION, TX 77845-5816
(979) 693-1999
Mailing address
1902 PINON DR, SUITE E, COLLEGE STATION, TX 77845-5816
(979) 693-1999
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
32034080096
TX
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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