Alyssa Smith

NPI #1366943664 in Meridian, Idaho

Provider Information

NPI Number: 1366943664
Entity Type: Individual
Name: Alyssa Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Feb 22, 2018
Last Updated: Feb 22, 2018

Practice Location

Address: 1351 W PINE AVE
City: Meridian
State: Idaho
ZIP Code: 83642-5031
Phone: (208) 895-6431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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