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Individual

MRS. CHERIE ROCHELLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9057
(804) 734-9969
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9057
(804) 734-9969

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001284
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110001284
VIRGINIA MEDICAL LICENCE NUMBER
VA
Enumeration date
05/30/2018
Last updated
07/09/2024
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