Individual
DEBORAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 STERLINGTON DR, MONROE, LA 71203-2329
(318) 855-8303
(318) 512-4769
Mailing address
211 STERLINGTON DR, MONROE, LA 71203-2329
(318) 855-8303
(318) 512-4769
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1400009440
LA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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