Individual
SHAKENIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 FANNIN ST, BEAUMONT, TX 77701-3801
(409) 832-3301
Mailing address
3937 COBBLESTONE LN, PORT ARTHUR, TX 77642-7320
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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