Individual
TANYA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, IBCLC
Contact information
Practice address
6385 WALNUT CV, BENTON, AR 72019-1511
(501) 725-1275
Mailing address
6385 WALNUT CV, BENTON, AR 72019-1511
(501) 725-1275
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-108255
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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