Individual
STACEY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
783 VISTA DEL SOL, PRESCOTT, AZ 86303-7268
(928) 533-0166
(206) 202-0410
Mailing address
783 VISTA DEL SOL, PRESCOTT, AZ 86303-7268
(928) 533-0166
(206) 202-0410
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
L00610
LA
Other
Enumeration date
01/11/2008
Last updated
05/09/2009
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