Shannon Marie Smith

NPI #1639446446 in Cedar City, Utah

Provider Information

NPI Number: 1639446446
Entity Type: Individual
Name: Shannon Marie Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 22, 2011
Last Updated: Nov 22, 2011

Practice Location

Address: 54 N 200 E
City: Cedar City
State: Utah
ZIP Code: 84720-2615
Phone: (435) 586-2515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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