Individual
ERRICKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3488 GARDEN AVE, ANDERSEN HALL MIF-4, FORT SAM HOUSTON, TX 78234-8898
(503) 858-2048
Mailing address
3488 GARDEN AVE, ANDERSEN HALL MIF-4, FORT SAM HOUSTON, TX 78234-8898
(503) 858-2048
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
01/16/2020
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