Individual
SUSIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
481 SHOTGUN DR, WEATHERFORD, TX 76087-7881
(682) 804-1286
Mailing address
481 SHOTGUN DR, WEATHERFORD, TX 76087-7881
(682) 804-1286
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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