MR. Mark Zachary Smith, LPN

NPI #1396982377 in Herrin, Illinois

Provider Information

NPI Number
1396982377
Entity Type
Individual
Name
MR. Mark Zachary Smith, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 14, 2009
Last Updated
Jan 14, 2009

Practice Location

Address
605 S 19TH ST
City
Herrin
ZIP Code
62948-2305
Phone
(618) 925-2866

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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