Individual
MRS. CHRISTINE LORRAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMMT, LMT
Contact information
Practice address
4334 CASSIDY STREET, #109, COLORADO SPRINGS, CO 80911-3203
(719) 471-2755
Mailing address
4334 CASSIDY STREET, COLORADO SPRINGS, CO 80911
(719) 205-6647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
376K00000X
Nurse's Aide
Primary
NA00769155
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130409
CITY LICENSE
CO
Enumeration date
03/16/2007
Last updated
12/31/2019
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