Individual
SHAWNA SMOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 WESTCOTT DR, SPRING CREEK, NV 89815-6912
(775) 385-1163
Mailing address
625 WESTCOTT DR, SPRING CREEK, NV 89815-6912
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN13705
NV
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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