Individual
SHANNON MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N 200 E, CEDAR CITY, UT 84720-2615
(435) 586-2515
Mailing address
199 E CANYON COMMERCIAL AVE APT 22, CEDAR CITY, UT 84721-7849
(435) 238-5149
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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