Individual
SARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9691 ROSALIE LOOP, KEITHVILLE, LA 71047-6108
(318) 572-4856
Mailing address
9691 ROSALIE LOOP, KEITHVILLE, LA 71047-6108
(318) 572-4856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN142214
LA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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