Individual
HEATHER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S BYNUM ST, LUFKIN, TX 75904-3903
(936) 225-3160
Mailing address
104 S BYNUM ST, LUFKIN, TX 75904-3903
(936) 225-3160
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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