Individual
JULIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLT
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 335-5973
(307) 332-7514
Mailing address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 335-5973
(307) 332-7514
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
69962
IA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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