Individual
MELISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 FERNWOOD ST, BRIDGE CITY, TX 77611-2328
(409) 728-6862
(409) 835-0151
Mailing address
212 FERNWOOD ST, BRIDGE CITY, TX 77611-2328
(409) 728-6862
(409) 835-0151
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
755061
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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