Individual
TERESA JILLIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 ROANOKE ST # 1, CHRISTIANSBURG, VA 24073-2512
(833) 522-0556
Mailing address
5221 TANGO LN, ELLISTON, VA 24087-3415
(540) 588-0236
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002078827
VA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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