Individual
TRAVONNIE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1930 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7006
(202) 450-5822
Mailing address
1930 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7006
(202) 450-5822
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2023
Last updated
08/18/2023
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