Individual
MRS. LAURA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-3115
(623) 691-3120
Mailing address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-3115
(623) 691-3120
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
060528
AZ
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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