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Individual

KACI SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5726 W HAUSMAN RD STE 100, SAN ANTONIO, TX 78249-1651
(210) 349-7030
Mailing address
6161 DAISY WAY, NEW BRAUNFELS, TX 78132-5196
(210) 438-2081

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329413
TX

Other

Enumeration date
08/03/2018
Last updated
08/03/2018
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