JOHNATHON CRAWFORD SMITH

MANTACHIE, MS
NPI1275718660
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  P231371)
Enumeration Date2008-01-03
Last Update Date2008-01-03
Business Address
Mr. JOHNATHON CRAWFORD SMITH CLPN
165 BANKHEAD RD SW
MANTACHIE, MS 38855-7267
Phone number: 662-840-1944
Mailing Address
Mr. JOHNATHON CRAWFORD SMITH CLPN
165 BANKHEAD ROAD
MANTACHIE, MS 38855-7265
Phone number: 662-840-1944