Individual
TYRELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1029 NORTH ROAD PMB 125, WESTFIELD, MA 01085-9711
(858) 346-7096
Mailing address
1029 NORTH ROAD PMB 125, WESTFIELD, MA 01085-9711
(858) 346-7096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2341753
MA
Other
Enumeration date
10/18/2021
Last updated
06/09/2023
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