Individual
BRANDY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
210 W WALNUT ST APT 30, HUNTINGTON, TX 75949-8501
(936) 238-6004
Mailing address
84 W FRANK EDGE ST, ALTO, TX 75925-6005
(936) 240-9370
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
214388
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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