Individual
BREA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 SHELBY DR, OXON HILL, MD 20745-2111
(240) 603-0120
Mailing address
904 SHELBY DR, OXON HILL, MD 20745-2111
(240) 603-0120
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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