MS. Renita G Smith

NPI #1104060631 in Lake Mary, Florida

Provider Information

NPI Number: 1104060631
Entity Type: Individual
Name: MS. Renita G Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other - EEG
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 4044 W LAKE MARY BLVD
Address 2: 257
City: Lake Mary
State: Florida
ZIP Code: 32746-2012
Phone: (585) 303-6776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other - EEG — EEG	2472E0500X	Primary

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