NPI 1780183434

Tianna L Smith

Practitioner Private Vehicle Saint Louis, MO

Practice location

Address: 439 Fassen St, Saint Louis, MO 63111-1912
Phone: (314) 484-1846
Mailing address: 8204 Gravois Rd, Saint Louis, MO 63123-4725

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence X137003006 (MO)

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Registry record

NPI: 1780183434
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2018
Record last updated: 8 Feb 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.