Individual
MALESA RENEA SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12018 WOODSRIM ST, LIVE OAK, TX 78233-4243
(210) 392-9782
Mailing address
12018 WOODSRIM ST, LIVE OAK, TX 78233-4243
(210) 392-9782
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
537843
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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