Organization
THE SMITH XPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRICA SMITH COMETOLOGIST (MANAGING MEMBER/HAIRSTYLIST)
(175) 781-6703
Entity
Organization
Contact information
Practice address
1610 MEADOW LAKE DR, NORFOLK, VA 23518-5204
(757) 816-7034
Mailing address
8036 CRESCENT RD, NORFOLK, VA 23505-1504
(757) 816-7034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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