Individual
CARMEN MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
405 TIMBERLAN RD, METAMORA, IL 61548-9187
(309) 253-6302
Mailing address
405 TIMBERLAN RD, METAMORA, IL 61548-9187
(309) 253-6302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.417736
IL
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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