Most Relevant Information
Provider Data
| NPI Number: | 1003527292 |
| Provider Name: | MERCEDEES SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2022 |
| Last Updated: | 12/08/2022 |
Provider Practice Location
5905 O ST
LINCOLN
NE
685102235
Practice Location Phone/Fax
| Phone: | 4024361657 |
| Fax: |
Provider Mailing Location
5905 O ST
LINCOLN
NE
685102235
Provider Mailing Phone/Fax
| Phone: | 4024361657 |
| Fax: |