STEPHANIE ERNESTA SMITH

MAPLEWOOD, MN
NPI1508275603
Former NameSTEPHANIE ERNESTA JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-08-04
Last Update Date2018-10-16
Business Address
STEPHANIE ERNESTA SMITH PA-C
1580 BEAM AVE
MAPLEWOOD, MN 55109-1127
Phone number: 651-779-7978
Mailing Address
STEPHANIE ERNESTA SMITH PA-C
2550 UNIVERSITY AVE W STE 110N
SAINT PAUL, MN 55114-2001
Phone number: 651-602-5311
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