Individual
OCTAVIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 AMBER LEAF PL APT T6, WALDORF, MD 20602-2125
(202) 642-4017
Mailing address
2004 AMBER LEAF PL APT T6, WALDORF, MD 20602-2125
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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