Jackie Dewece Smith

NPI 1366595431 - Occupational Therapist - 225X00000X

NPI Details
NPI 1366595431
Gender Female
Enumeration Date 01/19/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
213 PASEO DEL CANON E
TAOS NM, 87571-6239, US
Phone (505) 776-5940
Fax
Business Location
PO BOX 326
ARROYO SECO NM, 87514-0326, US
Phone (505) 776-5940
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New Mexico
License Number 655
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According to our database, Mrs. Jackie Dewece Smith NPI is 1366595431, taxonomy code is 225X00000X and license number is 655, license state is located at New Mexico. Jackie Dewece Smith physically located at 213 Paseo Del Canon E, Taos NM, 87571-6239. NPI Number Jackie Dewece Smith has the Individual type.

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1366595431 NPI number is provided on an as is basis without warranty of any kind. 1366595431 is maintained by the National Plan & Provider Enumeration System. The contents of Jackie Dewece Smith are for informational purposes only.