Individual
STACY B SMARTT-GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 F ST NW, STE 102, WASHINGTON, DC 20037
(202) 349-3209
(202) 822-9130
Mailing address
6356 GORAL CT, WALDORF, MD 20603-4319
(301) 503-9789
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN1032487
DC
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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