Individual
JEANETTE MARIE SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
9917 E OSAGE AVE, MESA, AZ 85212
(480) 313-1947
Mailing address
9917 E OSAGE AVE, MESA, AZ 85212
(480) 313-1947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306749
AZ
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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