Individual
FREDA ROLANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N HIGHLAND DR, FULTON, KY 42041-1463
(270) 208-1035
(270) 208-1055
Mailing address
201 N HIGHLAND DR, FULTON, KY 42041-1463
(270) 208-1035
(270) 208-1055
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
TN
Other
Enumeration date
12/13/2022
Last updated
11/11/2024
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