Individual
DR. NIKISHA HOLLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11315 PEMBROOKE SQ, SUITE 110, WALDORF, MD 20603-4806
(301) 645-6165
(301) 843-7232
Mailing address
11315 PEMBROOKE SQ, SUITE 110, WALDORF, MD 20603-4806
(301) 645-6165
(301) 843-7232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0066277
MD
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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