Individual
MRS. STEPHANIE JOELLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E. WATTS, SALLISAW, OK 74955
(918) 913-1809
Mailing address
211 E. WATTS, SALLISAW, OK 74955
(918) 571-6453
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
10/27/2023
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