Individual
JAMIYA SHAUDE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 HIGHWAY 6 S, HOUSTON, TX 77079-1034
(832) 943-9087
Mailing address
PO BOX 77, HUTTIG, AR 71747-0077
(832) 943-9087
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15398162
CAPQ
—
Enumeration date
09/13/2021
Last updated
09/13/2021
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