SHANE RAY SMITH

PEORIA, AZ
NPI1326721796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  300208)
Enumeration Date2023-08-10
Last Update Date2023-11-15
Business Address
SHANE RAY SMITH FNP-C
10230 W HAPPY VALLEY PKWY
PEORIA, AZ 85383-4691
Phone number: 623-561-3030
Mailing Address
SHANE RAY SMITH FNP-C
21735 N 119TH DR
SUN CITY, AZ 85373-5650
Phone number: 623-628-1522
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