Chauntel Smith

NPI #1134704851 in Moorhead, Minnesota

Provider Information

NPI Number: 1134704851
Entity Type: Individual
Name: Chauntel Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Mar 15, 2021
Last Updated: Mar 15, 2021

Practice Location

Address: 891 BELSLY BLVD
City: Moorhead
State: Minnesota
ZIP Code: 56560-5055
Phone: (218) 287-4338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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