BLAYNE SMITH

BENTON, AR
NPI1851675862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-10-10
Last Update Date2011-10-10
Business Address
-- BLAYNE SMITH recovery assistant
6701 HIGHWAY 67 BLDG 4
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
-- BLAYNE SMITH recovery assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344