Individual
TABITHA J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 MCCARRAN ST, APT #2111, NORTH LAS VEGAS, NV 89081-8135
(702) 292-8612
Mailing address
6300 MCCARRAN ST, APT #2111, NORTH LAS VEGAS, NV 89081-8135
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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