Individual
MRS. CHRISTA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
45012 W HONEYCUTT AVE, MARICOPA, AZ 85239-2842
(520) 568-5100
Mailing address
18717 N MILLER WAY, MARICOPA, AZ 85239-6899
(480) 273-9484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP032102
AZ
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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