Individual
MRS. KRISTIANA DANNIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 NINA DR, GRAND PRAIRIE, TX 75051-7427
(314) 497-1400
Mailing address
1752 NINA DR, GRAND PRAIRIE, TX 75051-7427
(314) 497-1400
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
980443C
MO
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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