Individual
MRS. ALECIA LEANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ESTHETICIAN
Contact information
Practice address
7405 RENNER RD, POD C, SHAWNEE, KS 66217-9414
(913) 588-6758
Mailing address
7405 RENNER ROAD, POD C, SHAWNEE, KS 66217
(913) 588-6758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
85334
KS
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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