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Individual

TERRY RICHONNE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N. BSN

Contact information

Practice address
3 WALKER RD, APT 8, NORTH ANDOVER, MA 01845-1944
(978) 726-0126
(978) 221-5814
Mailing address
3 WALKER RD, APT 8, NORTH ANDOVER, MA 01845-1944
(978) 726-0126
(978) 221-5814

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN255478
MA
163WC1500X
Community Health Registered Nurse
RN255478
MA
163WS0200X
School Registered Nurse
RN255478
MA

Other

Enumeration date
01/26/2015
Last updated
11/13/2015
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