CHANIQUA DOMINIQUE SMITH

OXFORD, MS
NPI1164104543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  906158)
Enumeration Date2023-08-03
Last Update Date2023-08-03
Business Address
CHANIQUA DOMINIQUE SMITH
956 MOLLY BARR RD APT 2
OXFORD, MS 38655
Phone number: 166-280-1295
Mailing Address
CHANIQUA DOMINIQUE SMITH
956 MOLLY BARR RD APT 2
OXFORD, MS 38655-2164
Phone number: 662-801-2950