Individual
TYRONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 HIDENWOOD DR APT A4, NEWPORT NEWS, VA 23606-2317
(757) 493-1294
Mailing address
300 HIDENWOOD DR APT A4, NEWPORT NEWS, VA 23606-2317
(757) 493-1294
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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