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Individual

CLAUDIA BRIDGETT SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
13628 HUNTINGTON CIR, GULFPORT, MS 39503-5009
(228) 224-4035
Mailing address
1636 N POPPS FERRY RD STE 210, BILOXI, MS 39532-2274
(228) 224-4035

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
910190
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
910190
NURSING LICENSE
MS
Enumeration date
09/25/2019
Last updated
09/25/2019
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