Individual
PHYLLIS MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 18TH ST SE APT 201, WASHINGTON, DC 20020-4653
(202) 486-4627
Mailing address
2401 SOUTHERN AVE APT 204, TEMPLE HILLS, MD 20748-4253
(202) 486-4627
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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