Individual
MAKESHIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3640 W WACO DR, WACO, TX 76710-5345
(254) 307-8607
Mailing address
25 ADDIE LN, WACO, TX 76705-1046
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
822311
TX
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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