Individual
DONNEL TRE LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6734 N 77TH DR, GLENDALE, AZ 85303-2938
(480) 823-0552
Mailing address
6734 N 77TH DR, GLENDALE, AZ 85303-2938
(480) 823-0552
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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