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Individual

YVELL GRESHAM-SMOTHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
618 HOUSTON AVE, HAMPTON, VA 23669-1613
(757) 218-4794
Mailing address
618 HOUSTON AVE, HAMPTON, VA 23669-1613
(757) 218-4794

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002085787
VA

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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