Candace Nicole Smith
NPI #1538337431 in West Plains, Missouri
Provider Information
- NPI Number
- 1538337431
- Entity Type
- Organization
- Organization Name
- Candace Nicole Smith
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 13, 2008
- Last Updated
- Jun 29, 2008
Practice Location
- Address
- 1522 PORTER WAGONER BLVD STE 1
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-1832
- Phone
- (417) 256-6625
Authorized Official
- Name
- MRS. CANDACE NICOLE SMITH
- Title
- OWNER
- Phone
- (417) 257-9631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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