Individual
MARCIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18775 N BUTTE PASS RD, PRESCOTT, AZ 86305-8404
(928) 533-5941
Mailing address
18775 N BUTTE PASS RD, PRESCOTT, AZ 86305-8404
(928) 533-5941
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH4547
AZ
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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