Individual
MS. SHARLA RACHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2601 DETROIT AVE, KINGMAN, AZ 86401-4216
(928) 753-6197
(928) 753-7756
Mailing address
2601 DETROIT AVE, KINGMAN, AZ 86401-4216
(928) 753-6197
(928) 753-7756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN123171
AZ
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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