Most Relevant Information
Provider Data
| NPI Number: | 1003638503 |
| Provider Name: | TONIA M SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | BH10316 |
Most Important Dates
| Enumeration Date: | 10/28/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
10483 W WASHBURN ST
MARANA
AZ
856531622
Practice Location Phone/Fax
| Phone: | 5207211887 |
| Fax: | 5203448892 |
Provider Mailing Location
PO BOX 86537
TUCSON
AZ
857546537
Provider Mailing Phone/Fax
| Phone: | 5207211887 |
| Fax: | 5203727126 |