Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4911 MAPLEWOOD, WICHITA FALLS, TX 76308
(940) 781-2893
Mailing address
4911 MAPLEWOOD, WICHITA FALLS, TX 76308
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
696198
TX
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-56383
TX
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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