Barretta Leanne Smith
Technician, Attendant Care Provider in Dallas, TX. Individual provider (NPI-1).
NPI number1114593282
StatusActive
Last updated in NPPESJul 11, 2021
Details
- NPI
- 1114593282
- Entity type
- Individual (NPI-1)
- Name
- Barretta Leanne Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2021
- Certification date
- Jul 11, 2021
- Last updated
- Jul 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | 09817273 | TX | Yes |
Practice location
4919 Mark Trail Way Apt 15cDallas, TX 75232-1438
Phone 972-404-6848
Mailing address
4919 Mark Trail Way Apt 15cDallas, TX 75232-1438
Phone 972-404-6848
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