Individual
MIZETTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8805 Q ST APT 108, OMAHA, NE 68127-4819
(402) 403-2669
Mailing address
2516 N 93RD CT APT 24, OMAHA, NE 68134-5835
(402) 403-2669
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
04/17/2025
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