Individual
SHIRLEY DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 SELDEN ST, RICHMOND, VA 23223-4527
(804) 678-8837
Mailing address
2703 SELDEN ST, RICHMOND, VA 23223-4527
(804) 678-8837
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
HLCD-00508
VA
171400000X
Health & Wellness Coach
MBPC00609
VA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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