Individual
HALEY KAITLYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 ESSEX CIR, NORFOLK, VA 23513-3503
(757) 575-9290
Mailing address
3715 ESSEX CIR, NORFOLK, VA 23513-3503
(757) 575-9290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19013883
VA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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