Saletha Brenetha Smith
Saletha Brenetha Smith is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1300 W Lancaster Ave Ste 205Fort Worth, TX 76102-3490
Phone: (817) 336-8611
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Specialties & licences
| Developmental - Behavioral Pediatrics Physician (primary) | Taxonomy 2080P0006X · Licence S8122 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1760710636 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2009 |
| Last updated in NPPES | October 26, 2020 |
| Certification date | October 26, 2020 |
| Mailing address | Po Box 733784, Dallas, TX 75373-3784 |
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