Individual
MRS. HALEY MARIE GILMORE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 HAMAKER CT, FAIRFAX, VA 22031-2207
(703) 876-2788
Mailing address
10203 ROBERTS COMMON LN, BURKE, VA 22015-2860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001240034
VA
Other
Enumeration date
06/14/2017
Last updated
11/27/2023
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