Individual
MS. MEGAN ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9641 FERNCLIFF RD, BETHANY, LA 71007-8725
(318) 294-5657
Mailing address
9641 FERNCLIFF RD, BETHANY, LA 71007-8725
(318) 294-5657
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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