JACQUELYN RAE SMITH

LAKEWOOD, CO
NPI1356630800
Former NameJACQUELYN RAE GARCIA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: CO  DR.0056367)
Additional Taxonomies2085P0229X Radiology Pediatric Radiology
(Licence: CO  DR.0056367)
2085R0202X Radiology Diagnostic Radiology
(Licence: TX  P9572)
Enumeration Date2011-04-06
Last Update Date2022-12-29
Business Address
JACQUELYN RAE SMITH D.O.
1746 COLE BLVD STE 150
LAKEWOOD, CO 80401
Phone number: 303-914-8800
Mailing Address
JACQUELYN RAE SMITH D.O.
816 W CANNON ST
FORT WORTH, TX 76104-3194
Phone number: 817-321-0404