Individual
CHRISTINA DANYALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
122 HOLLY STREET, BUDE, MS 39630
(601) 600-0442
Mailing address
1928 PROBY RD SE, MC CALL CREEK, MS 39647-5395
(601) 748-5996
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P322216
MS
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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