Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 N SOUTH CAROLINA AVE BLDG 6, ATLANTIC CITY, NJ 08401-4533
(609) 369-8827
Mailing address
PO BOX 7621, ATLANTIC CITY, NJ 08404-7621
(609) 369-8827
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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