Individual
ALEAH R. SMITH-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5225 N LAMAR BLVD, AUSTIN, TX 78751-1820
(512) 483-5800
(512) 483-5827
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 483-5800
(512) 483-5827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171244
TX
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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