Individual
DEQUAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1058 E WORTHY ST STE B1, GONZALES, LA 70737-4302
(225) 258-7322
(225) 450-3799
Mailing address
1058 E WORTHY ST STE B1, GONZALES, LA 70737-4302
(225) 258-7322
(225) 450-3799
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2017
Last updated
06/17/2024
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