Individual
TABATHA DELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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