Individual
MR. JAMES E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
318 ABALONE LOOP, MESCALERO, NM 88340
(505) 464-4441
Mailing address
927 PEACH CIRCLE, TULAROSA, NM 88352
(575) 585-3320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76791
NM
164X00000X
Licensed Vocational Nurse
PN111281
OH
Other
Enumeration date
10/02/2006
Last updated
07/21/2022
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