Individual
CIERRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 E WENONAH BLVD, WICHITA FALLS, TX 76309-2017
(940) 923-4814
Mailing address
1005 E WENONAH BLVD, WICHITA FALLS, TX 76309-2017
(940) 923-4814
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341228
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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