Individual
TERESA LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADIOLOGY TECH
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-3083
(605) 867-3364
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3083
(605) 867-3364
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
367815
—
2471M2300X
Mammography Radiologic Technologist
Primary
367815
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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