Smith, Desiree I
Smith, Desiree I is an individual health care provider with primary practice located at 701 W 18Th St , Portales NM 88130-7237. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Smith, Desiree I can be contacted via phone (575) 356-3675.Contact Information
Primary practice address
701 W 18Th St
Portales NM 88130-7237
Phone: (575) 356-3675
Fax: (575) 359-3675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | R66027 | New Mexico |
Profile Details
| NPI number | 1356854285 |
|---|---|
| LBN Legal business name | Smith, Desiree I |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2017 |
| Last updated | Nov 14th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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