Individual
MS. DEBRA KAY HINES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
22629 N 73RD DR, GLENDALE, AZ 85310-5662
(623) 376-6780
Mailing address
22629 N 73RD DR, GLENDALE, AZ 85310-5662
(623) 376-6780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2661
AZ
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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