Jerene S Smith
NPI #1295712750 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1295712750
- Entity Type
- Individual
- Name
- Jerene S Smith
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Technician, Other
- Enumeration Date
- Dec 27, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6490 EXCELSIOR BLVD STE E 400
- Address 2
- PARK NICOLLET CLINIC - MEADOWBROOK
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426
- Phone
- (952) 993-3123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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