Individual
JAISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 ALCOVE FOSTER CT, FRESNO, TX 77545-8185
(832) 262-3430
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1005739
TX
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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