Individual
QUINTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 W 78TH ST APT 1106, TULSA, OK 74132-4629
(918) 350-1266
Mailing address
1415 W 78TH ST APT 1106, TULSA, OK 74132-4629
(918) 350-1266
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
02/17/2023
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