Individual
ASHLEY ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 LONG FOREST ROAD, HEARTLAND, TX 75126
(951) 310-6479
Mailing address
2110 LONG FOREST ROAD, HEARTLAND, TX 75126
(951) 310-6479
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
475273627
TX
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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