Individual
CARLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8413 BOONES TRAIL RD, CHESTERFIELD, VA 23832-7684
(804) 729-7523
Mailing address
8413 BOONES TRAIL RD, CHESTERFIELD, VA 23832-7684
(804) 729-7523
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
VA
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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