Individual
DEQUAN MIQEUL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7117 HARRISON LN, ALEXANDRIA, VA 22306-1902
(202) 597-8459
Mailing address
7117 HARRISON LN, ALEXANDRIA, VA 22306-1902
(202) 597-8459
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA2000005898
DC
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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