Individual
SAISHA TYLER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
996 MAINE AVE SW, WASHINGTON, DC 20024-3440
(860) 804-1105
Mailing address
996 MAINE AVE SW, WASHINGTON, DC 20024-3440
(860) 804-1105
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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