Individual
ANN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465143 HIGHWAY 141, GANS, OK 74936-2314
(539) 230-9610
Mailing address
465143 HIGHWAY 141, GANS, OK 74936-2314
(539) 230-9610
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/30/2024
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