Individual
JULIA FAITHE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 DOBER ST, NOLANVILLE, TX 76559-9767
(740) 506-1964
Mailing address
302 DOBER ST, NOLANVILLE, TX 76559-9767
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345647
TX
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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