MJ SMITH ENTITY LLC

KENTWOOD, LA
NPI1831383546
Entity TypeOrganization
Authorized ContactMARGARET J SMITH
Owner
985-514-1584
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2007-09-06
Last Update Date2007-09-06
Business Address
MJ SMITH ENTITY LLC
1307 3RD ST
KENTWOOD, LA 70444-3319
Phone number: 985-514-1584
Mailing Address
MJ SMITH ENTITY LLC
PO BOX 623
KENTWOOD, LA 70444-0623
Phone number: 985-514-1584