Individual
SHONTELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM, R.EPT
Contact information
Practice address
617 HOLLY ST, ANGLETON, TX 77515-4823
(832) 298-6168
Mailing address
617 HOLLY ST, ANGLETON, TX 77515-4823
(832) 298-6168
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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