NPI 1043790546
Makenzie Marie Smith
Practice location
- Address
- 1500 S Ave K Station 3, Shroc, Portales, NM 88130
- Phone
- (575) 562-2127
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1043790546
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Aug 2018
- Record last updated
- 15 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.