Individual
MARSHEKA VARCHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5025 HIGHWAY 305 N, OLIVE BRANCH, MS 38654-3602
(662) 890-3548
Mailing address
7296 HUNTERS FOREST DR, OLIVE BRANCH, MS 38654-7532
(662) 897-9475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R897360
MS
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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