Individual
MS. CHARMAINE POLING SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9381 MORFONTAINE RD, PEYTON, CO 80831-4024
(719) 494-8483
Mailing address
9381 MORFONTAINE RD, PEYTON, CO 80831-4024
(719) 494-8483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107505
CO
Other
Enumeration date
02/10/2006
Last updated
08/07/2007
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