Individual
SHAQUITA LASHAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 MEADOWLARK LN APT B, LITTLE ROCK, AR 72209-2767
(501) 786-6765
Mailing address
6621 MEADOWLARK LN APT B, LITTLE ROCK, AR 72209-2767
(501) 786-6765
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
151414
AR
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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