Individual
KERRIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1904 ALEXANDER AVE, WACO, TX 76708-2820
(254) 206-1204
Mailing address
1904 ALEXANDER AVE, WACO, TX 76708-2820
(254) 206-1204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
781583
TX
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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