Organization
MJ SMITH ENTITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET J SMITH RN (OWNER)
(985) 514-1584
Entity
Organization
Contact information
Practice address
1307 3RD ST, KENTWOOD, LA 70444-3319
(985) 514-1584
(866) 388-7842
Mailing address
PO BOX 623, KENTWOOD, LA 70444-0623
(985) 514-1584
(866) 388-7842
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
LA
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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