Individual
MS. MOKKI ORANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8812 YATES TERRACE, BROOKLYN PARK, MN 55443
(704) 495-4049
Mailing address
8812 YATES TER, BROOKLYN PARK, MN 55443-1663
(704) 495-4049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MN
163WH0200X
Home Health Registered Nurse
178641
NC
163WH0200X
Home Health Registered Nurse
4704232935
MI
Other
Enumeration date
01/27/2009
Last updated
09/23/2011
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