Individual
MS. JUANITA A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. DEGREE
Contact information
Practice address
901 WEST HICKORY, DEMING, NM 88030
(575) 546-2174
(575) 534-1150
Mailing address
P.O. BOX 1349, SILVER CITY, NM 88062-1349
(575) 388-4497
(575) 534-1150
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
05/08/2013
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