Individual
SHANNON SMELTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
973 HARBER AVE, GRAPEVINE, TX 76051-6620
(817) 907-4594
Mailing address
973 HARBER AVE, GRAPEVINE, TX 76051-6620
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99512
TX
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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