Individual
JENNIFER METEVIER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
12526 RUTHDALE DR, DALLAS, TX 75244-6735
(972) 814-4519
Mailing address
12526 RUTHDALE DR, DALLAS, TX 75244-6735
(972) 814-4519
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1127769
TX
Other
Enumeration date
04/27/2007
Last updated
10/08/2012
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