Individual
AMANDA NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1400 W WOODARD ST, DENISON, TX 75020-3450
(586) 531-5400
Mailing address
1400 W WOODARD ST, DENISON, TX 75020-3450
(586) 531-5400
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
TX
Other
Enumeration date
05/13/2022
Last updated
07/01/2024
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