Individual
KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 W HARGETT ST RM 1012, RALEIGH, NC 27601-1377
(850) 404-2662
Mailing address
516 AVONDALE AVE, ROCKY MOUNT, NC 27804-4005
(252) 903-0093
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-305502
NC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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