Individual
MRS. ANGEL SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
10001 SIMMONS RIVER RD, MONTCALM, WV 24737
(304) 589-3251
(304) 589-6363
Mailing address
RR 2 BOX 326, MC COMAS, WV 24747-9602
(304) 589-6327
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
57599
WV
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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