Individual
LEEANN MASHAUNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
(541) 240-8754
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
21-CRM-373
OR
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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