Individual
MRS. CHRISTINE MAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
205 SOUTH 8TH STREET, BASIN, WY 82410
(307) 568-2009
(307) 568-2009
Mailing address
PO BOX 528, BASIN, WY 82410-0528
(307) 568-2009
(307) 568-2009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22911
WY
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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