KENNETH ROGER SMITH

ALBUQUERQUE, NM
NPI1447953237
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
KENNETH ROGER SMITH CCSS
2004 VALENCIA DR NE
ALBUQUERQUE, NM 87110-5210
Phone number: 505-398-7843
Mailing Address
KENNETH ROGER SMITH CCSS
2004 VALENCIA DR NE
ALBUQUERQUE, NM 87110-5210
Phone number: 505-398-7843