Individual
SOPHIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-6203
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
253032
AZ
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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